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13 | On 05/01/25 at 9am Licensing Program Analyst (LPA) Villegas conducted an initial complaint visit regarding the allegation(s) above. LPA met with Administrator (A1) Esperanza Naaktgeboren as the purpose of the visit was explained.
The investigation consisted of the following: On 05/01/25 LPA obtained copies of the following; staff roster, client roster, and copies of the following for residents #1-3 (R1-R3), facesheet, physicians report, physicians orders, needs and service plan, medication list, and admission agreement. On 05/01/25 from 10am-11:50 am LPA conducted interviews with residents #1-9 (R1-R9) and from 1:00pm-2:00pm LPA conducted file review for R1-R3. On 5/1/25 from 2pm- 3:10pm LPA conducted interviews with (A1), and staff # (S1).
The investigation revealed the following:
Allegation: Staff is opening resident’s mail
It is being alleged that someone at the front desk is opening selective pieces of residents mail. |