It is being reported that staff is smoking marijuana at this facility. On 2/12/24, LPA toured the facility for a health and safety check. LPA reviewed evidence provided and could not determine what the individuals were smoking. LPA learned that the staff and residents are allowed to smoke in the backyard and away from the house. Per the Employee Handbook, Smoking is not permitted inside the home. Alcohol or illegal manner other than prescribed are not permitted in or on any facility grounds or vehicles. LPA Shirley interviewed staff 1-staff 9(S1-S9). LPA asked does anyone smoke marijuana here at this facility. Of those interviewed, 9 out of 9 answered no. LPA Shirley interviewed resident 1 – resident 2 (R1-R2), R3 is non-verbal. LPA asked have you seen anyone smoke marijuana here in this facility. Of those interviewed, 2 out of 2 answered no. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Administrator is not at the facility for the required amount of time

It is being reported that the Administrator only visits the facility once or twice a month. On 2/12/24, LPA toured the facility for a health and safety check. LPA reviewed employee files, staff timesheets and Administrators Attendance Log from 2/12/24 through 8/2/23. During attendance log review, LPA observed that the Administrator is working at the facility a significant number of hours per month. The is no required number of hours an Administrator must be at a facility. On 2/28/24 at 1:15pm, LPA Shirley conducted an unannounced annual at this facility and was met by the Administrator. LPA Shirley interviewed staff 1-staff 9(S1-S9). LPA asked how often is the administrator at the facility. Of those interviewed, 9 out of 9 answered over 2 times per week. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Con'd on 9099-C

It is being reported that a staff member gave marijuana/edibles to a resident in care. On 2/12/24, LPA toured the facility for a health and safety check. LPA reviewed resident files. LPA Shirley reviewed evidence provided and could not determine if staff gave the resident edibles. LPA Shirley interviewed staff 1-staff 9(S1-S9). LPA asked are the residents being feed edibles. Of those interviewed, 9 out of 9 answered no. LPA Shirley interviewed resident 1 – resident 2 (R1-R2), R3 is non-verbal. LPA asked has anyone given you edibles/candy that made you feel funny or confused. Of those interviewed, 2 out of 2 answered no. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.