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32 | Adult, threw Resident 1 (R1) to the ground, causing R1 to sustain a black eye. On another occasion, it was reported that this same family member pinched either Resident 2 (R2) or Resident 3 (R3), causing both residents to bleed. It was also reported that residents were forced to bathe and shower in cold water. There were no times, dates or any witnesses identified to corroborate these allegations. Investigation to these allegations are as follows
· On April 24, 2025, LPA Cava made a ten day visit to conduct the Health and Safety check. Interview with the administrator between 12:50pm to 1:50pm reveal that there are only four (4) residents living in the home at this time. Administrator states only her and her husband/Staff 1 (S1) are live in staff. Administrator also confirm a family member resides in the home. Review of the facility Personnel Summary via the Licensing Information System (LIS) reveal that all three individuals, including hired staff, Staff 2 (S2), have fingerprint clearance, and are all associated. Additional interviews held with the four (4) of four residents held between 1:50pm to 2:50pm confirm that their needs are met.
· On April 25, 2025, this complaint was referred to IB and accepted as an assignment.
· On May 14, 2025, IB Investigators Douglas Real and Michele Salant conducted their investigation at the facility and conducted interviews with Administrator, residents and hospice personnel between 1:00pm to 2:00pm
· The administrator denied any physical abuse, corporal punishment of facility residents or not providing safe and healthful environment to the residents. These residents reveal their needs are met and express no concerns with staff regarding physical abuse and/or corporal punishment. A hospice nurse who was present at the facility during the day of their investigation expressed no concerns of any personal rights violation, nor received any reports from the residents concerning facility staff.
· On September 11, 2025, LPA Cava conducted another complaint (control # 31-AS-20250820130352), with similar allegations of personal rights. LPA interviewed the administrator and one (1) of one staff member, Staff 2 (S2), who both deny these allegations. Interviews with three (3) of three residents also deny any personal rights violation, stating staff are respectful, polite and attentive to their needs.
· On December 5, 2025, between 8:30am to 10:30am, additional interviews were made with the Administrator and one (1) of one staff. Between 10:30am and 12:00pm, interviews with four (4) of four residents remain consistent with questions asked by LPA Cava on September 11, 2025. |