complaint·January 26, 2023

Licensing Program Analyst (LPA) K. Kaur conducted a subsequent complaint inspection to deliver findings. LPA met with Administrator Lenette Otero-Gross and Health and Wellness Director Megan Mike and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Administrator and staff were interviewed and based on interviews conducted and records reviewed there were no incidents of physician’s orders not being followed. LPA reviewed a sample of resident’s medications with the MARs and Centrally stored log and discovered no discrepancies or issues. Based on interviews conducated all incidents are reported. LPA conducted a tour of the facility and observed the facility to clean with no obstruction or fire clearance issues. Based on observation and interview of staff and residents, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated.