Complaint Investigation Report

Further interview with S1 also revealed that S1 did not know who filed the complaint against the facility as this was not disclosed during investigation.

Regarding the allegation that Staff did not keep resident's personal information confidential, it was alleged that when staff took R1 to mental health facility R1 was told out loud that R1 was not "supposed to be billing two mental health facilities at the same time". LPA's interview with Staff #2 (S2) who brought R1 to the mental health facility revealed that S2 did not even know who is R1 billing or double billing as it is not for R2 to know nor it is part of S2's job to know, effectively denying R1's allegation.

Regarding the allegation Staff are not providing a comfortable environment for residents, it was alleged that there is no toilet cleaner and the bathroom smells like urine at the facility. LPA's observation during this and prior visit revealed that the toilets are the facility are clean and did not smell any odors. LPA's record review also revealed that as part of their resident handbook, all residents must do their chores which include but not limited to cleaning their rooms, bathrooms and floors. LPA's interview with three (3) residents on 11/05/25 revealed that three (3) out of three (3) residents interviewed stated that they clean their own bathrooms and they are always clean and did not smell urine at any time.

Based on the information gathered during this and prior visit these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.