Complaint Investigation Report

On 02/13/2023 facility doors were observed as unlocked and entering and exiting the building was not of concern at the time of visit. Staff interview statements noted that doors were routinely left open during hours of operation.

The Department's review of records and observation found there was insufficient evidence to support the allegations that Licensee did not follow infection control requirements; Licensee did not conduct fire drills; Licensee locked facility doors; Staffing levels did not meet resident needs; Licensee did not follow reporting requirements; Staff did not receive required training. Due to a lack of evidence, the allegations are deemed to be unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with the Program Supervisor Melinda Williams. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Program Supervisor Melinda Williams and her signature on this report confirms receipt of the Licensee Rights.