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13 | On 10/31/2023, Licensing Program Analyst (LPA), Venus Mixson conducted visit and met with the Administrator, Matt via telephone. The visit was conducted to provide findings for the investigation pertaining to the above listed allegations.
On March 09, 2020, Community Care Licensing (CCL) received information which stated the Licensee is operating over-capacity, is not providing a bed for all residents, does not allow residents to have visitors, and the Licensee hit a resident. During the investigation, the LPAs conducted interviews with the Administrator, Staff, and witness. The LPAs were unable to interview additional residents due to resident’s unavailability due to facility closure. Additional staff interviews were attempted but staff did not respond to the LPA’s numerous requests for interview. Additionally, staff phone numbers were out of service, and/or voice mail not set up to take messages. Finally, staff were no longer available for staff interviews due to their no longer employed with the facility, and the facility being closed.
Regarding the allegation operating over-capacity information obtained from interviews stated, the mother of the Licensee (S1), would come by to spend the day. Information stated that on one occasion of S1's mother stopped by she sat down and fell asleep, and instead of waking her S1 allowed her to sleep on the couch and made a quick errand. Additional information stated there was no operating over capacity, mother just stop by with S1 while S1 was running errands. There was not sufficient information obtained to show this allegation happened.
Regarding Licensing hit resident, information obtained from interviews stated no one saw anyone hit the resident, the witness did not see anyone hit the resident, and it was not stated to the witness that the resident was hit. Information stated the niece of the witness used to reside at the facility saw that a resident had bruising but was not aware of how the bruising was obtained. Additional information stated there were no reports of anyone seeing anyone hit the resident brought to the attention of the management team. Based on the information obtained there is not sufficient evidence to demonstrate this allegation actually occurred.
Regarding Licensee is not providing a bed for all residents, information obtained from interviews stated a resident was seen sleeping on the couch but the information obtained was unable to identify who the resident was. Additional information stated the person sleeping on the couch was not a resident at all but S1’s mother who had stopped by because S1 was running errands. The information obtained was not sufficient enough to demonstrate the allegation happened.
Regarding Licensee does not allow residents to have visitors, information obtained from interviews stated there were no denials of any visitors, or any denials to any residents to have visitors. Additional, information obtained stated it was not brought to the attention of anyone, and no one stated they were denied a visit, there were no records showing the denials of any visits. Information from interviews stated this was just a known fact but did not give information on how this information was a known fact. The information obtained from the interviews does not have sufficient information to justify the alleged allegation.
Based on information obtained from interviews and record reviews, the findings and outcome of said allegations pertaining to the investigation have been deemed "Unsubstantiated." An allegation finding of unsubstantiated means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did occur.
An exit interview was conducted, and a copy of this report was provided to the Administrator.
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