Complaint Investigation Report

On January 31, 2025, LPA Monter interviewed staff S1-S3. 3 Out of 3 staff (S1-S3) stated they have not seen staff push residents. Staff S1 stated he/she has never pushed residents.

On February 26, 2025, LPA Monter interviewed ADM Fontanilla. ADM stated, she has never seen any staff pushing residents. ADM stated she has not heard anyone mention this allegation.

On March 6 & 11, 2025, LPA Monter interviewed Witness W1-W3. 3 Out of 3 Witness interviewed stated they have not seen staff pushing residents in care.

Based on a facility record review, there are no incident reports regarding the alleged push. There are also no incident reports noting any hospitalization's for R2 in late 2025 or 2024.

Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur.

Staff are not providing adequate amounts of food to meet the nutrition needs of residents in care

On January 28, 2025, the Department received a complaint alleging Staff are not providing adequate amounts of food to meet the nutrition needs of residents in care. It has been alleged that facility staff are serving small portions during meals which do not meet the nutrition needs of residents in care.