Complaint Investigation Report

Based on records review, Facility submitted a Special Incident Report for the incident which occurred on the evening of 10/26/2024 to Community Care Licensing Division (CCLD). The report was received by the Department on 10/28/2024. The client’s responsible party was informed of the incident upon arrival at the facility the following day, which is within the required reporting timeframe.

Based on interviews conducted, observations made, and record review, the allegations listed above are UNSUBSTANTIATED. A finding that complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted. Copy of report discussed and provided to Licensee. Signature on form confirms receipt of documents.