Complaint Investigation Report

Allegation: Facility staff are providing expired food to clients- Substantiated

On 05/28/2025 LPA observed the following:

9:21 a.m. LPA observed expired milk- Lactaid 2% reduced fat milk- May 21, 2025

9:27 a.m. LPA observed expired Almond Breeze Chocolate almond milk- May 4, 2025

9:27 a.m. LPA observed expired Almond Breeze unsweetened original May 19, 2025

Administrator immediately throw out all the items.

LPA conducted another visit on 09/11/2025 and did not observe the facility to have expired food.

Based on the information obtained for the allegation, facility staff served expired food to residents, the allegation is SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Allegations: Facility staff are not awake clients require assistance- Substantiated

On 05/28/2025 facility had one staff member working. Staff were awake and assisted LPA and residents during time of the visit. On 09/11/2025 LPA arrived at the facility and was greeted by two staff members. They were assisting residents and helping LPA until Administrator arrived. During the course of the investigation, a photo was obtained where a staff was sleeping on the couch when residents were awake and present in the facility. The Administrator was shown the photograph and confirmed staff was sleeping while on duty.

Based on the information obtained for the allegation, facility staff are not awake, the allegation is SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Exit interview conducted and a copy of the report and appeal rights was left at the facility.