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32 | Allegation: Staff inappropriately spoke to resident
Finding: Unsubtantiated
During investigation, LPA interviewed reporting party (RP), clients (C1, C2), staff (ADM, S1) and reviewed C1’s documents. C1 stated staff never spoke to her inappropriately at any time. C1 stated staff constantly reminded her to be careful with her credit account and not let anyone use it for their own purchases. C1 confirmed with LPA that she had an incident on April 2025 where she had a verbal and physical altercation with C2 because she let her use her credit account with an agreement that C2 would pay her monthly until the bill is paid off. C2 never paid her back. Staff denied speaking inappropriately with any client in care. During unannounced visits on 08/30/24, 09/06/24 and 10/09/25, LPA observed staff did not speak inappropriately to clients in care. Clients (C1, C2, C3 C4) were observed comfortable in their surroundings and relaxed with staff assisting them with their meals, doctors’ appointments, medications and purchases. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff inappropriately spoke to resident is unsubstantiated.
Allegation: Staff do not provide a safe environment for resident
Finding: Unsubstantiated
During investigation, LPA interviewed reporting party (RP), staff (ADM, S1), clients(C1, C2) and reviewed C1’s documents. C1 and C2 both confirmed with LPA that they feel safe living at the facility. C1 stated she shares a bedroom with another client (C3) whom she gets along with and does not have any verbal or physical incidents. C1 stated she had a verbal and physical incident with another client (C2) who resides in her own private bedroom. C1 stated this incident happened on April 2025 when C2 overheard her talking about her to a friend on the phone when her bedroom door was open. C2 confronted C1 and hit her on the head because she felt disrespected. C1 stated staff redirected them, assisted C1 by calling police and 911 for evaluation and treatment. Staff reminded both clients about not allowing others to use their credit accounts to purchase items. During unannounced visits on 08/30/24, 09/06/24 and 10/09/25, LPA observed clients (C1, C2, C3, C4) comfortable in their surroundings and relaxed with staff assisting them with their meals, scheduled appointments and medications. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff do not provide a safe environment for resident is unsubstantiated.
Continued on next page, LIC 9099-C pg1
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