Complaint Investigation Report

When a resident is observed by staff for smoking indoors or their rooms the manager is quick to investigate, the residents are reminded of the house rules and violation notice is given to the resident and communicated to their POA. According to the staff, residents that violate the house rules for similar issues are reminded constantly, staff has posted ‘No Smoking” signs near and in suspected smokers’ rooms to remind residents of the no smoking rule. LPA observed ‘NO Smoking’ signs posted throughout the facility, hallways and in suspected smoker’s rooms. Seven (7) out of Eight (8) residents interviewed could not corroborate the allegation. A few residents interviewed state they have smelled cigarette and marijuana smoke around the facility but not seen anyone smoking indoors. Based upon interviews and observations conducted the findings indicate that, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff do not ensure water temperatures are properly maintained throughout the facility. It is alleged that the facility is not ensuring the water temperature is properly maintained throughout the facility. Six (6) out of Six (6) staff interviewed deny this. Interviews with staff indicate that in the part the facility had issues with the water broiler earlier this year, the issue was resolved with a new water heater replacement, January 2025. LPA Vaid measured the hot water temperature in ten (10) residents’ rooms by holding thermometer under the hot water for 60 seconds and the temperature readings measured between 105-120 deg F. Seven (7) out of eight (8) residents interviewed could not corroborate the allegation, six residents interviewed stated they have never had issues with the hot water temperature. Based upon interviews and observations conducted and water temperature measured the findings indicate that, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.