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32 | (Continued from LIC 9099)
also interviewed R1's spouse, Resident #2 (R2) who was not present when the carpet cleaning occurred. R2 visits R1 every afternoon and did not smell odors during the afternoon visit on November 25, 2025. R2 also was not sure why the carpet was cleaned. Two of two residents could not confirm the allegation when questioned. LPA obtained the TELS work order; which can be entered for any cleaning or repair work by facility staff, residents or families. A work order was placed on November 20, 2025 to clean the carpet in R1's room.
LPA interviewed three of three witnesses. One of three witnesses, Witness #2 (W2), observed R1 shivering in the room upon entry and confirmed the allegation. Two of the three witnesses were not present and could not confirm, nor deny the allegation that Staff neglected resident and left them in the room.
LPA interviewed three of three staff members regarding the allegation Two of three staff members stated they asked Resident #1 (R1) if they wanted to exit the room while the carpet was cleaned but R1 did not respond. Staff offered assistance to R1 several times, in different ways, if R1 would like to leave the room but R1 did not want to move. Staff stated they were in and out of the room within thirty minutes. Three of three staff members denied the allegation that Staff neglected resident and left them in the room.
LPA reviewed the Material Safety Data Sheet (MSDS) for the carpet cleaner. The cleaner is approved for facility use and according to the staff member who cleaned the carpet, is used frequently to clean carpets throughout the facility. After cleaning R1's carpet on November 25, 2025, staff left the apartment door open and used the industrial fan to quickly dry the carpet area. A second staff member checked on R1 and provided a blanket for the resident; when it was brought to the staff member's attention that R1 appeared cold. The staff member also quickly removed the industrial fan from the area.
Based on LPA's record review, observations and interviews, the allegation that Staff neglected resident and left them in the room is Unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Executive Director, Tonya Reynolds, and a copy of this report was provided to the facility.
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