Complaint Investigation Report

Record reviews revealed the following: During the month of May (05/2026) CDSS reviewed two (2) MARs and there were zero (0) discrepancies observed. Interviews revealed the following: Nine (9) out of ten (10) (R2-R10) residents and all four staff (S1-S4) have denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

Regarding the allegation “Staff do not provide a comfortable environment for residents in care”, it is being alleged that another resident speaks too loudly on a daily basis and staff have spoken to this resident, yet the volume of their voice remains loud. Record reviews have revealed that, within house rules, the grievance procedures are listed. Interviews revealed the following: Six (6) out of ten (10) (R4-R8 and R10) residents and all four staff (S1-S4) have denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

There have been zero (0) deficiencies cited during today's visit.

An exit interview was held with staff one, Ace Huynh, and a copy of this report has been provided.