Complaint Investigation Report

During today’s visit LPA obtained the staff roster, resident roster, Daily cleaning schedule dated 10-30-2023, S1’s signed safeguard and cash resources sheet for 2023, S1’s admissions agreement and interviewed nine (9) Residents who shall be referred to as R1 through R9. LPA also interviewed the administrator and three (3) staff who shall be referred to as S2 through S4. A tour of the facility was conducted with the facility coordinator. LPA was unable to obtain S1 contact information. The administrator contacted Human resources and was unable to obtained S1’s forwarding information.

The investigation reveals the following: Regarding “Facility staff are not safeguarding resident's assets”. It is alleged that the facility is not safeguarding R1’s money. The Administrator Honeylet Urrea denied the allegation stating the residents receive all their P&I money. 3 out of 3 staff stated they do not handle the residents P&I money. 8 out of 9 residents denied the allegation stating the facility handles their P&I money and there has been no issues. 1 out of 9 residents stated the facility do not handle their finances. LPA reviewed R1’s safeguard and cash resources document and observed that R1 signed as received all P&I all of 2023. R1 was part of the 8 residents that confirmed they received all their P&I money with no issues.

The investigation reveals the following: Regarding “Facility staff yell at residents”. It is alleged that S1 yell at the residents. During the interview with The Administrator, LPA confirmed that S1 no longer worked at the facility. The administrator denied the allegation stating the staff has never yelled at the residents, and S1 was strict but never demeaning. 3 out of 3 staff denied the allegation stating they have never yelled at the resident’s and never witness other staff members yelling at the residents. 9 out of 9 residents denied the allegation stating the facility has never yell at them. 5 out of the 9 residents remembered S1 and stated S1 never yelled at them. 4 out of 9 residents do not remember S1. LPA could not contact S1 due to no forwarding contact information was available.

The investigation reveals the following: Regarding “Facility staff are not properly cleaning resident's room”. It is alleged that the resident’s rooms are a mess. The administrator denied the allegation stating the staff clean the resident’s rooms daily but there are times that the residents refuse to allow the house cleaning staff to clean their rooms. There are also contests that the facility holds monthly with incentives for residents who have the cleanest room. 3 out of 3 staff denied the allegation stating they clean the rooms daily, but they sometimes hindered by residents who do not want their rooms cleaned. They will then report it and attempt to clean their rooms again. 9 out of 9 residents denied the allegation stating their rooms are cleaned daily or weekly and they are happy with the cleaning schedule. LPA reviewed the daily cleaning schedule for 10-30-2023 and observed all rooms was checked at least once for the day.

Based on LPA's interviews, investigation revealed: 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

Exit interview conducted with Honey Let Urrea and a copy of this record provided.