Complaint Investigation Report

Allegation: Staff did not ensure the facility was free from pest

It is alleged that there is an infestation of cockroaches in C1’s personal belongings. On 8/13/25, LPA Felisa Shirley conducted a tour of this facility and an inspection of C1’s personal items. LPA Shirley inspected C1’s drawers and searched between articles of clothing and underwear and did not observe any live nor dead cockroaches. LPA Shirley inspected C1’s closet and inspected hanging items and shoes and did not observe live nor dead cockroaches. LPA Shirley inspected C1’s mattress which was enclosed in a mattress protection bag and did not see any live activity of bed bugs. LPA Shirley opened and closed drawers and closets observing for live activity. LPA inspected facilities rooms, bathrooms, kitchen, drawers, closets and windowsills and did not observe any live activity of pest.

LPA interviewed staff 1 – staff 3 (S-1 – S-3). Of those interviewed 3 out of 3 denied the allegation. Client 1 (C-1), was not available for interview

Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff did not ensure food/hygiene products were not expired

It is alleged that there are expired items of food and personal hygiene products not fit for consumption and personal care for residents in care. On 8/13/25, LPA Shirley conducted a tour of this facility and went into the kitchen to inspect the refrigerator and cabinets. During the tour, LPA Shirley observed that the refrigerator was adequately supplied and contained all the essential food items. During the inspection, LPA Shirley did not observe any expired items of food. During the inspection of cabinets, LPA observed that the can good were organized and the items with expiration dates nearing were located in the front of the cabinet for easy access to remove after expiration, as stated in an interview with S3. During interviews, the Administrator stated that she had recently bought groceries. LPA Shirley toured the bathroom and inspected C1’s personal hygiene items located in a container underneath the sink and did not observe any expired items.