complaint·March 13, 2025

Staff engaged in inappropriate interactions with an adult on the premises in the presence of a resident. On the allegation of inappropriate interactions by staff, the concern of the reporting party is that while the RP was talking to with the Licensee in the backyard regarding some concerns, a facility staff (S1) intervened in the discussion. S1 came very close to the RP’s face. The incident occurred very close to one of the residents’ rooms, and another resident was sitting in the dining room. On 03/22/2024, LPAs Arroyo and Thomas interviewed S1, and S1 stated that the RP does not allow personal space for staff: RP answers the facility phone, goes into the kitchen while staff are preparing meals, and goes into other residents’ rooms. Furthermore, the LPAs interviewed residents and their representatives, and the interviews revealed that residents and their representatives are satisfied with the facility staff and had no concerns. On 03/13/2025, LPA Urena interviewed the Licensee and S1 about engaging in inappropriate behavior towards any of residents or any visitor to the facility, and S1 denied being disrespectful or displaying inappropriate behavior. to anyone at the facility. The Licensee denied that the staff engaged in inappropriate interaction with others at the facility. Based on the information obtained through interviews; although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not provide a comfortable environment for residents. On the allegation that staff does not provide a comfortable environment, it is the concern of the RP that they observed two broken recliners in the living room. On 03/22/2024, at 11:14 a.m. Licensing Program Analysts (LPAs) Brittany Thomas and Martha Arroyo along with the Licensee conducted a tour of the facility to ensure there were no health or safety concerns. At the time of the visit, the LPAs did not observe any concerns. Furthermore, the LPAs conducted residents’ interviews, and responsible parties’ interviews. All interviews (residents’ and responsible parties’) revealed that they were happy with the facility and staff, and did not have any concerns or issues. The RP stated that they had noticed some broken chairs in the common area. On 03/13/2025, LPA Urena interviewed the Licensee and S1, and they denied having any broken recliners. Based on the observations, and information obtained through interviews, the facility has appropriate furniture for residents in care. Therefore, the allegation is deemed Unsubstantiated at this time. *Only past five edits are shown Edit Dates 03/13/2025 01:13:59 PM 03/13/2025 01:13:59 PM 03/13/2025 01:11:47 PM 03/13/2025 11:24:15 AM 03/13/2025 11:23:14 AM