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13 | Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director Emily Turner.-On May 20, 2025, Community Care Licensing (CCL) received a complaint alleging licensee did not ensure Resident 1 (R1) received needed toenail care. During investigation, the Department collected pertinent resident records as well as facility documentation and conducted interviews. According to R1 records collected, R1 needs assistance with grooming. Care plan state facility is to provide assistance with keeping nails clean but excludes nail trimming. Interview with staff revealed staff provided regular toenail filing. Interview with outside source revealed that R1 was receiving end of life care as well as regular nail care. Lastly, outside source interviews did not reveal any information to establish facility was no providing care to R1.-Based on interviews, outside source interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Executive Director Emily Turner, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.
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