Aaa Residential Elderly Retreat

Allegation investigated: Facility does not provide necessary supplies for staff to do their job Facility does not properly clean laundry Administrator License is expired Facility does not offer a variety of activities for residents in care Facility is not kept at a comfortable temperature for residents in care Facility serves food that is not of good quality to meet residents needs Facility does not serve food in a quantity to meet residents needs Facility does not address residents medical needs in a timely manner

On May 26, 2026, Licensing Program Analyst (LPA) M Vega conducted an unannounced inspection at the facility and met with Administrator - Alexis Bell. The purpose of the visit was to resume complaint investigation and deliver findings regarding the above allegation. Based on interviews, record review, Health and satety walthough visual inspection, it has been determined that the facility Facility does not provide necessary supplies for staff to do their job, Facility does not properly clean laundry, Administrator License is expired, Facility does not offer a variety of activities for residents in care, Facility is not kept at a comfortable temperature for residents in care, facility serves food that is not of good quality to meet residents needs Facility does not serve food in a quantity to meet residents needs, Facility does not address residents medical needs in a timely mannerand determined the allegation is UNFOUNDED. Continuation on LIC 9099C Unfoundedthe state’s words, verbatim · CDSS document, Mar 26, 2026 · control 24-AS-20250411104340

Allegation investigated: Staff did not provide activities or outings for residents in care Staff did not provide adequate care to residents Staff are serving contaminated tea to residents in care Staff spoke inappropriately to residents in care Staff do not ensure that residents are cleaned properly

On May 26, 2026, Licensing Program Analyst (LPA) M Vega conducted an unannounced inspection at the facility and met with Administrator - Alexis Bell. The purpose of the visit was to close an open complaint investigation and deliver findings regarding the above allegation. It was alleged that, “Staff did not provide activities or outings for residents in care, Staff did not provide adequate care to residents, Staff are serving contaminated tea to residents in care, Staff spoke inappropriately to residents in care, Staff do not ensure that residents are cleaned properly.” Based on interviews, record review, Health and safety walkthrough visual inspection. it has been determined that the facility does ensure Staff did not provide activities or outings for residents in care, Staff did not provide adequate care to residents, Staff are serving contaminated tea to residents in care Staff spoke inappropriately to residents in care Staff do not ensure that residents are cleaned properly determithe state’s words, verbatim · CDSS document, Mar 26, 2026 · control 24-AS-20250319161325

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility neglected to seek medical treatment for resident.

On May 28, 2025, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced inspection at the facility and met with Caregiver (CG) Latecha Thompson. The purpose of the visit was to open a complaint investigation and deliver findings regarding the above allegation. It was alleged that the facility was not seeking medical care for a resident. (R1- see attached confidential names list). Based on interviews and record review it has been determined that the facility does ensure R1 receives medical care and determined the allegation is unfounded. This agency has investigated the complaint alleging “Facility neglected to seek medical treatment for resident.” We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened or is without a reasonable basis. We have found that the complaint was unfounded, therefore we have dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, May 28, 2025 · control 24-AS-20250521114432

Allegation investigated: Licensee did not ensure facility plumbing was in good repair.

On 5/21/2025, Licensing Program Analyst (LPA) conducted unannounced inspection and met with Latecha Thompson, Caregiver. The purpose of the visit is to deliver findings on the above allegations. During the course of this complaint investigation LPA conducted an inspecation, spoke with staff and residents, and obtained and/or reviewed facility records. Based on the investigation it was found that the facility did encounter a plumbing issue that was impactful to both staff and residents as the water was backed up and only one restroom was functional. Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached LIC 9099D. An exit interview was conducted and a copy will be provided to the Administrator by email. Substantiatedthe state’s words, verbatim · CDSS document, May 21, 2025 · control 24-AS-20250221090844

Allegation investigated: Staff violate client's personal rights Medication mishandled by staff Neglect / lack of supervision resulting in an injury

On 3/4/2025, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced complaint investigation visit to the facility. During this visit LPA delivered the investigative findings regarding the allegations listed above and described below. Allegation 1- Personal Rights violation - not enough clothing or proper toiletries- LPA conducted tour and found that at the time of the visit, clients had sufficient clothing and there were appropriate toiletry items for staff and clients. Interviews conducted provided conflicting information regarding supplies. Allegation 2- Medical violation- not enough medication- clients share and medication is physically mishandled. LPA conducted tour and conducted interviews. At the time of the visit, medication appeared to be in order. Interviews conducted provided conflicting information regarding how medication is handled in the facility and the way that is stored and distributed. Allegation 3- Neglect / lack of supervision resulting in an injury-the state’s words, verbatim · CDSS document, Mar 4, 2025 · control 24-AS-20241205100619

Allegation investigated: Staff interacted with resident in an inappropriate manner.

On 3/4/2025, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced complaint investigation visit to the facility. During this visit LPA delivered the investigation finding regarding the above allegation. The Department has investigated the complaint alleging that a staff member interacted with a resident inappropriately by the way the resident was physically handled; specifically the manner which client was moved in his wheelchair. Staff involved indicated it was not rough just a matter of directing traffic. LPA conducted interviews and received conflicting information. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is found to be unsubstantiated. No citation issued regarding the allegation. An exit interview was conducted and a copy of the reporthe state’s words, verbatim · CDSS document, Mar 3, 2025 · control 24-AS-20241219100153

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff handled resident in a rough manner Facility is not meeting food service requirements resulting in weight loss Staff violate resident's personal rights

Licensing Program Analysts (LPA)'s Shawna Doucette conducted an unannounced complaint visit and was granted entry by Administrator Alexis Bell. LPA's explained the purpose of the visit. LPA conducted interviews and reviewed records. Based on record review and interviews Staff documentation indicates R1 refused meals regularly. Based on interviews, staff did not violate resident's personal rights or handle resident in a rough manner Based on record reviews and interviews, 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. An exit interview was conducted and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2024 · control 24-AS-20240722153956

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.