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13 | Licensing Program Analysts (LPAs) Dwayne Mason Jr and Nancy Guillen conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the visit, LPAs toured the facility and interviewed staff and residents. Three out of three staff deny any uncleared individuals at the facility. Facility Administrator (AD) stated a resident recently passed away and family members were visiting more frequently but never stayed the night. Interview with one out of one resident that was able to be interviewed confirms the only people who stay overnight are residents and facility staff. AD indicated formal visiting hours are 10AM to 8PM but can be flexible. AD re-stated that only facility staff and residents stay overnight. LPAs verified all staff on the LIC 500 are background cleared and associated to the facility. Based on interviews conducted and records reviewed, LPAs are unable to corroborate the allegation. Therefore, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. Exit interview was conducted and a copy of this report was provided. |