Regarding Allegation: Staff did not safeguard residents' personal belongings. It is alleged that staff threw away a client's personal belongings without asking permission or explanation,the personal items consisted of a wheelchair, vitamins and mouthwash. Interviews with four (4) out of (6) clients revealed that staff never threw away any client's belongings away without asking client's permission first. Interviews with one(1) of (6) clients revealed that staff is helpful to clients, staff assist clients with removal of client's personal items to assist clients with cleaning up client's rooms. Interviews with C1 revealed that staff took away client's mouthwash due to possible countereffects with C1's current medications for C1's safety. C1 stated that a wheelchair and clothes were taken from C1's room to be donated and that C1 had authorized the removal of both items. C1 was not aware that staff removed any vitamins from C1's room. Interviews with C1's family member confirmed C1's account of the disposal of C1's wheelchair and bag of clothes.C1 family member confirmed that C1 agreed to the removal of C1's personal items. Interviews with (6)six of (6) six staff , including the Administrator, revealed that staff deny the allegation and staff safeguard client personal belongings.Staff never throw away clients' personal belongings without first asking for the client's permission. Administrator confirmed that C1's wheelchair and C1's bag of clothes were taken from C1's room with C1's permission and were donated. Administrator and staff denies that C1's vitamins were taken from C1's room. Staff that perform housekeeping of C1's room, confirmed having seen the herbal tea mouthwash in C1's room, however housekeeping staff stated not to have removed mouthwash from C1's room. LPA reviewed C1's personal belongings inventory sheet, which did not list a wheelchair or a bag of clothes or vitamins or mouthwash. The investigation did not reveal that staff are not safeguarding clients' personal belongings.

Allegation: Staff did not ensure to provide residents with activities: It is alleged that staff are not providing the clients with activities. Interviews with five (5) out six (6) clients did not corroborate this allegation. Five (5) of six (6) clients stated the facility has activities such as games, music, language arts, hygiene and health curriculum, drawing and exercise are offered in a trailer located in the parking lot or in the dining area if

Allegation: Staff opened resident’s mail: It is alleged that staff opened C1’s mail before giving the mail to C1. Interviews with five (5) of six (6) clients stated that the client’s mail is received unopened. Five (5) of six (6) clients were unable to corroborate this allegation. LPA observed unopened mail placed on two (2) clients’ beds in the client rooms. Interviews with six (6) of six (6) staff including administrator revealed the staff’s protocol is for the mail to be delivered to clients’ room unopened. If a client is not present in the client’s room to receive the client’s mail, the mail comes back to the Medication Room to be retrieved by client at a later time. The client’s mail remains unopened in the Medication Room. Administrator and staff deny that any client is given mail that has been opened by a staff member. Administrator and staff deny ever opening a client’s mail before it is given to them. The investigation revealed that staff do not open client mail and mail is delivered to clients unopened.

Based on statements, interviews conducted with staff and clients, LPA’s observations and record review there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview held with Administrator Manal Amarasinghe and a copy of this Licensing report was provided.