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13 | On 2-6-23 at 12:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to continue investigation for the allegation noted above. LPA met with Administrator Jagtar Singh and explained the purpose of the visit. Administrator had to depart and authorized lead caregiver (S1) to sign in his absence. During this investigation, LPA conducted facility observations on 1-25-24 and 2-6-24. LPA also conducted interviews with two staff members and three residents in care. Additionally, LPA reviewed documentation pertaining to facility repairs. Based on interviews, record reviews, and observations, it was determined that facility did not demonstrate leaks in the roof or evidence of roof leakage at this time. Observations revealed a heavy tarp placed on the roof to mitigate any potential occurrance of leaks. Additionally, documenation reviewed revealed licensee has plans in place to replace facility with a new structure on the property grounds by Summer 2024 which will also include new roofing. Currently no leaks are occurring at facility and licensee has demonstrated attempts to prevent leaks. As a result, the prepoderance of evidence standards is not met, and this allegation is UNFOUNDED. An exit interview was conducted with S1 and a copy of this report was provided to S1. |