Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation: "Licensee did not allow a resident to have a visitation". It has been alleged that on 4/13/2024 visitor(s) were asked to leave the facility during visiting hours. Record reviews revealed the following: The Sign in/out sheet, on 04/13/2024, logged that a visitor was there to visit a resident. The facility house rules indicates that residents are allowed to have visitors between the hours of 09:00AM - 7:00PM, but that "visitors must be respectful of other residents and staff. Disruptive guests will be asked to leave.". Record reviews of the Serious Incident Report (SIR), submitted on 04/17/2024, indicates that on 04/13/2024 around 11:30AM a visitor was escorted out of the facility by LBPD officers after verbally threatening staff and family member(s). Interviews revealed the following: 4 out of 4 staff and 3 out of 3 residents have disagreed with the allegation. Interviews also indicate that on 04/13/2024 Administrator S1 and LBPD requested a visitor to depart from the facility due to that visitor’s disruptive behavior to staff, which disrupted three (3) residents in care.

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 no deficiencies cited today.

An exit interview was held with Edgar Yraheta (S2) and a copy of this report has been provided.