Complaint Investigation Report

All five residents (R1-R5) have confirmed they have not received any eviction notice. Witness one (W1) has revealed two (2) names of the reporting parties. Record reviews revealed the following: Eviction notice(s) were requested of any eviction to resident(s) in care. When requested these alleged document(s) were not available during today's visit. Furthermore, the names provided by W1 were not present on the resident roster (LIC9020) nor on the in-house resident roster. 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 confines residents inside of the facility”, it is being alleged that the facility places chairs, indoors, against entrance and exit door knobs which prevents residents to depart from the facility. Interviews have revealed the following: three (3) out of four (4) staff (S1-S2, S4) and all five residents (R1-R5) have denied the allegation has taken place. On 09/05/25, at 10:39AM, LPA's observation revealed the following: LPA observed chairs placed in front of the "original front entrance" (OFE). Staff three (S3) agreed that they have seen chairs placed in front of OFE, yet also stated the following, " Whoever has done that MUST be a resident. I know it was a resident because I saw ( revealed name ) putting the chairs there 'to help keep the facility safe'. They have since moved out, but there is no way a staff is doing that. I can guarantee you it is still a resident doing that, because we have all been trained not to block any entrance/exit door(s)." Based on LPA's interviews and LPA's observation(s) 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 maintain facility in good repair”, it is being alleged that the fire alarm goes off at least twice a week, for no reason. Interviews have revealed the following: all four staff (S1-S4) have confirmed that the fire alarm was emitting an alarm quite often. S 2 stated the following, " We have had that repaired, but we’re waiting to receive the report from the fire department who had come on the same day as our annual visit by LPA Dabuet.". LPA Leon attempted to contact LPA Dabuet to confirm this statement. LPA Dabuet was not available for contact. Record reviews were not available to confirm this statement. All five residents (R1-R5) have confirmed that the fire alarm system has not bothered them; that since the fire department has visited, the alarm has not gone off again and that they are prepared to leave the facility in case of fire. During LPA's one-and-a-half (1.5) days at the facility, LPA has not heard nor observed the fire alarm. Report continues, see LIC9099-C.