Complaint Investigation Report

Review of facility schedule for 08/23/2025 showed that there were 8 direct care staff on-site during the evening shift. Review of staff records indicated that 8 of 8 facility staff members had first aid training certificates on file. This allegation is Unsubstantiated .

The Department investigated the following allegation, “staff do not ensure that facility is in good repair.” Complaint alleged that facility’s camera system was not working. Complaint alleged that facility staff were aware that the system was down on the morning of 08/23/2025 but did not communicate it to residents or their responsible parties. Facility partners with a third-party vendor, Safely You, that has cameras throughout the building to notify the facility staff of a potential fall. Interview conducted with Executive Director stated that Safely You Technicians were on-site for 3 to 4 days to resolve the camera issue. Facility documents also indicated that on 08/29/2025, the Safely You cameras were online and active. The camera system is maintained and managed by Safely You. Therefore, it is the third-party vendor’s responsibility to ensure that their system is functioning appropriately and not the facility’s. This allegation is Unsubstantiated .

A finding that a complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Exit interview conducted. Copy of report discussed and provided to Executive Director/Administrator. Signature on form confirms receipt of documents.