Complaint Investigation Report

Regarding the allegation Staff do not keep the facility clean and sanitary. LPA Hurt toured the facility and observed several areas where cleaning supplies are locked away from residents but are accessible to staff. LPA Hurt observed cleaning supplies in the medication room, in an upstairs locked cabinet area, and in a locked area in the garden house. LPA Hurt spoke with Staff 1 who stated they are aware of the location of cleaning supples if needed. Staff 2 stated they are also aware of the location of cleaning supplies and can provide to staff if needed. The facility has four full time housekeepers Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Insufficient staffing to meet resident needs. Administrator stated in the mornings, they have between 5 and 7 direct support staff, and averaging 6 to 7 in mornings that includes call offs and any late arrivals. Administrator stated there is usually between 6 to 7 staff at the facility during PM shift, and overnight they usually have 5 staff. The facility has four full time housekeepers. The facility has three administration staff that can assist with direct care if needed. The facility has a full time nurse, full time nurses assistant that are also cross trained to assist with direct client care if needed. The facility has a full time behavioral therapist. The facility has no clients that need assistance with bathing, dressing, and feeding. The facility clients are all independent and ambulatory.Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies are cited Per Title 22 Regulations.

Exit interview conducted with Assistant Administrator, Brian Nelson, and a copy of this report provided.