Complaint·February 16, 2023

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection regarding the above allegation. The LPA met with Jill Ford at 10:11 AM and explained the reason for the visit. The allegation of 'Licensee is allowing resident's personal rights to be violated' alleges Resident #1 (R1) is blocking and/or restricting the Certified Ombudsman from attending Resident Council meetings and the facility is allowing it. On 08/24/2021, the LPA conducted interviews with seven residents, including R1, between 1:50 PM and 2:59 PM. The interview with R1 revealed they have invited the ombudsman to council meetings in the past when they have had problems but they are not always needed at every meeting. Interviews with the other six residents revealed no one has ever told them not to invite the ombudsman to their council meeting and they had no issues or concerns if the ombudsman was invited. Based on the information obtained, there is insufficient evidence to support the allegation occurred. Therefore, the allegation is deemed unsubstantiated at this time. Exit interview conducted and report reviewed. A copy of the report and appeal rights were provided.