Complaint Investigation Report

Staff #5 (S5) at 1:25pm, LPAs observed all three (3) staff members were not wearing their COVID masks appropriately. LPAs informed staff to put the mask up and use it properly. All three (3) staff members immediately complied and pulled their masks over the nose. Based on LPAs observation, during the visit made on 11/23/21, this allegation is deemed Substantiated.

Allegation: Residents rooms are not in good condition

During the initial visit, LPAs Panushkina and Stamp conducted a physical plant tour of the facility and observed a broken closet door at 11:25am. In addition, at 11:56am LPAs observed the bathroom vanity in one of the resident rooms was in a bad condition and dirty. At 12:58pm, LPAs observed a cut out in the wall behind the residents’ entrance door. During todays visit LPA Panushkina observed and confirmed that all previously mentioned issues have been resolved/fixed. Based on LPAs observation, during the visit made on 11/23/21, this allegation is deemed Substantiated.

Exit interview conducted, appeal rights explained and copy of this report signed and delivered.