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13 | Licensing Program Analyst (LPA) conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Karinna Topete.
On March 9, 2026, Community Care Licensing Division (CCLD) received a complaint alleging the above mentioned alligations. The Department’s investigation consisted of unannounced facility visits, interviews with staff and outside sources, and a review of records .
Regarding the allegation staff did not follow the resident’s hospice care plan. More Spefically, concern involved Residnet #1(R1) missing bowel movement entries and the resident later requiring intervention for constipation. Department Record review revealed hospice staff were actively involved, the facility followed hospice directions, and documentation issues did not demonstrate that care was not provided.
Regarding the Allegation that Staff did not safeguard the resident’s personal belongings. More specifically, consern involding a missing fan. R1's move in inventory did not list this item. Staff and outside interviews revealed no reports of staff taking, withholding, or missing facility’s possession. LPA observations revealed no issues with storage or handling of resident belongings.
Based on interviews, direct LPA observations, and records review, interviews with internal and external sources a preponderance of evidence does not exist to prove that the alleged violations occurred. Therefore, the allegations are UNSUBSTANTIATED.
An exit interview was conducted with Executive Director Topete, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided. |