Complaint Investigation Report

was interviewed and verbalized that the facility at the time of the report had 5 Residents. Staff 1 (S1) was interviewed and also verified that there were only 5 Residents at the time of the report. Staff 2 (S2) was interviewed and also stated that the facility had 5 residents at the time of the report. There have been no evidence from records review and interviews that the facility was caring for more than 6 residents since the facility opened and licensure was approved.

It was alleged that there was an absence of supervision of residents. LPA Domingo reviewed facility records and verified that the facility provided staff supervision at all times when residents were present. S1 was interviewed and stated that the residents have continued supervision at all times when at the facility. OS1 was interviewed and stated that through observation the staff was present when residents were present.

Based on LPA's interviews with Residents, outside source interviews, and records reviewed there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated . An exit interview was conducted with House Manager, to whom a copy of this report, and the Licensee Appeal Rights (LIC 9058 03/22) were provided.