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32 | LPA toured the facility on 3/09/21 and 6/24/21. On both occasions, LPA encountered a closed and locked gate at vehicle entry. In the past three (3) years, there have been no reports of residents leaving the facility without supervision. The facility has an alert system upon entry and exit to doors. LPA viewed the bricks making up the outside décor of the fireplace. LPA found that the bricks extended out approximately six (6) inches from the front wall of the fireplace. Furniture in the room is set-up so that residents, staff, and guests can walk past the fireplace. LPA did not find that the bricks protruded in a way that caused a danger to anyone passing by the fireplace. In the past three (3) years, there have been no reports of injury or falls near the fireplace. Based on the information obtained, the allegation that, “Facility did not provide a safe environment for residents”, is Unsubstantiated.
On the allegation “Facility did not prepare and serve food in a safe and healthful manner”, the complainant showed concern that facility food was poorly prepared citing a time when a resident’s food was prepared at an improper temperature, and resident was unable to consume the item. To investigate the allegation, LPA interviewed residents about food quality. On 6/24/21, three (3) residents were interviewed at 3:08 pm, 3:15 pm, and 3:20 pm and on 7/07/21, one (1) resident was interviewed at 2:00 pm regarding food quality. All four residents stated that they ”enjoyed the food, it was a good variety, and there is more than enough” food served. LPA observed prepared food in the kitchen and found it to be of good quality. LPA interviewed the chef (S1) who explained that S1 prepares fresh food daily and typically prepares food for weekend staff to heat and serve. S1 states staff are trained on food preparation. Based on the information obtained, the allegation that, “Facility did not prepare and serve food in a safe and healthful manner”, is Unsubstantiated.
On the allegation “Facility did not prominently display personal rights poster”, the complainant noted that, on several occasions to the facility, the personal rights poster was not visible. To investigate the allegation, LPA toured the facility on two separate occasions, obtained photos, and spoke with staff. LPA observed resident personal rights posted on the bulletin board in the facility’s northwest hall leading to the office and resident rooms. The hall is in a common area where residents, visitors, and staff walk through. Based on the information obtained, the allegation that, “Facility did not prominently display personal rights poster”, is Unsubstantiated.
At 3:45 pm, an exit interview was conducted with Administrator Zolton Soo, and a copy of the report was given.
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