Complaint Investigation Report

The investigation revealed the following:

Regarding the Allegation : Staff illegally evicted a resident in care.

This complaint alleged that the facility evicted R1 from the facility. Records review indicate the following: Reviewed incident report (dated 11/29/2025), report indicates that R1 was aggressive with staff and wanted to leave the facility. R1 was transported to the hospital. 01/03/2026 R1 was aggressive and was transported to the hospital for psychiatric evaluation and treatment. 01/09/2026 hospital social worker called and advised that R1 requires a higher level of care due to safety concerns. Interviews indicate the following: S1 indicates that R1 was taken to the hospital and evaluated by social workers and doctors as needing higher level of care. S1 indicates that R1 never returned to the hospital and no notice of eviction was ever given. 3 out of 3 staff deny the allegation. R1 no longer lives at the facility and could not be interviewed. 3 out of 4 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff illegally evicted a resident in care” is found to be UNSUBSTANTIATED.

Regarding the Allegation : Staff are serving food that is not of quality to residents in care.

This complaint alleged that the facility does not serve quality food. LPA Calderon toured the facility and noted staff had served breakfast to residents and lunch. LPA Calderon noted 2-day supply and 7-day supply of food in kitchen. LPA Calderon did not notice any residents refusing or not eating the food. Records reviewed indicate the following: LPA Calderon reviewed the meal plan for the month. Interviews indicate the following: S1 indicates that S1 purchases quality food that the residents love to eat. S1 indicates that staff serve quality food to residents in care. 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 no longer lives in the facility. 3 out of 4 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff are serving food that is not of quality to residents in care” is found to be UNSUBSTANTIATED.