Complaint Investigation Report

Regarding the allegation: Staff do not properly maintain the clients’ rooms while in care

It is alleged that the facility staff do not properly clean clients’ rooms while in care. On November 8, 2021, a credible witness observed that four bedrooms’ floors had debris fields throughout. Clients interviewed during the visit indicated that they were comfortable having staff vacuum and mop the floors daily. Clients bedroom closet mirrors were also observed to be dirty. Additionally, it was found that the clients’ primary bathroom was also not cleaned, nor sanitized following the residents’ morning use. The LPA toured the facility today and interviewed staff, clients and the administrator. There was confirmation that the physical plant was not up to standard on November 8, 2021. Therefore, the above allegation is found to be SUBSTANTIATED at this time. Please see LIC 9099D .

Regarding the allegation : Facility gate is in disrepair

It is alleged that the side gate leading to the apartment in the rear of the property was leaning significantly and poses as a serious safety risk to clients at the facility. During today’s visit and interview with the Licensee, LPA Urena learned that the side gate was indeed in need of repair. Repair of the gate had expected to happen, but was not done in a timely manner. The wooden gate was removed and replaced with a new metal gate as of 11/09/2021. Based on interviews with credible witnesses, this allegation is deemed to be Substantiated at this time. Please see LIC 9099D.

Exit interview was conducted, and the report was reviewed with the licensee. Citations, and appeal rights were issued. Copy of the report was emailed to Licensee.