Complaint Investigation Report

Allegation: Staff did not ensure the facility is kept clean

The details of the complaint allege that there were cigarette butts everywhere. During file review, LPA Shirley reviewed the Admission Agreement and observed that there are several outdoor areas where smoking is permitted and residents are requested to use the ashtrays. On 3/5/25, LPA Shirley toured this facility and observed that this facility is clean and the staff cleaning the facility on each floor. LPA Shirley observed the staff mopping the floors of the facility. During interviews LPA Shirley ask the Administrator, Natalie Singh for copies of the cleaning schedule. Natalie stated that there were no cleaning schedules, the staff just know where and when to clean.

LPA interviewed staff, staff 1 – staff 6 (S-1 – S-6). LPA asked, if staff ensures that this facility is kept clean. Of those interviewed 6 out of 6 stated yes. LPA interviewed client 2 – client 7 (C-2 – C-7). LPA asked clients, if staff ensures that this facility is kept clean. Of those interviewed, 5 out of 6 answered, yes and 1 answered no.

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.