Follow-up on corrections·June 18, 2025

On 06/18/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived for an unannounced for a Case Management meeting. The LPA met with Valarie Pais, the Designated Facility Administrator (DFA), and explained the purpose of the visit. The purpose of the visit was to discuss the notification that the Department had received that there was a nanny cam set up and recording in a resident room. The DFA stated that a staff caregiver notified her of the video camera in R1's room on 06/03/2025. The DFA, who was off-site at the time, called the Director of Health and Wellness (DHW) Kayla Varney and directed her to call the resident's family to inform them that the video camera in the resident's room was against regulation. The DHW called the family early evening to let them know this and that staff was going to remove the camera immediately. The DFA stated that Resident Care Director Rachel Cole removed it from the resident's room by 6 PM. The DFA stated that on 06/07/2025, one of R1's granddaughters contacted her to inform her of possibly suspicious activity in their grandfather's room that was captured on the camera. She forwarded two videos to the DFA. The first video was time stamped 06/03/2025 at 2:41 PM and showed staff looking in the resident's kitchen cabinets and counters. The DFA clarified with Kristin that this was kitchen staff looking for dirty dishes, as R1 received food service in his room. The second video was time stamped 06/03/2025 at 5:36 PM and showed staff taking an Ensure from the resident's kitchen. The DFA conducted an investigation and determined that this was a caregiver that took the Ensure without authorization. The investigation resulted in the employee's termination. The DFA stated that the resident's family requested permission to reinstall the video camera in the resident's bedroom so that they can see their grandfather more often. The DFA inquired what was involved in getting permission for this. Senior Executive Director Alyssa Sellers of Milestone Retirement joined the conversation by cell phone. The LPA informed them that the facility must submit an exception waiver request for a video camera to the Department and that its Plan of Operations and Admission Agreement would need to be updated accordingly if approved. The LPA stated that approval of an exception waiver for a video camera was granted by the Department's Program Manager. The LPA and the DFA toured the R1's apartment. The LPA observed that the camera was no longer in the apartment. The LPA toured the Med Tech room and observed the video camera in storage there. Based on observations made during the inspection of the facility and an interview with the Administrator, the Department has found the facility to be noncompliant and has cited it for one deficiency. An exit interview was conducted, and Appeal Rights were discussed with the DFA. Copies of this LIC 809/LIC 809D report and appeal rights were provided to the DFA.