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13 | Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, the department toured the facility and interviewed residents and Administrator. Regarding the allegation that staff do not ensure smoking area is properly maintained, the investigation revealed the following: The department toured the smoking area on two different occasions and observed the area to be clean and orderly as well as the non-smoking area. Three out of four residents interviewed denied smoking issues at the facility. One resident stated satisfaction with the smoking area. Administrator indicates smoking issues regarding residents smoking in their rooms have been resolved. Based on observation and interviews conducted, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and copy of the report was provided to the facility. |