On the allegation, Licensee does not ensure staff are providing a safe environment for residents it is the concern of the Reporting Party (RP) that Staff #1 (S1)’s child who resides at the facility roams unattended and on two (2) occasions turned off residents oxygen. To investigate this complaint, LPA conducted in person interviews, telephonic interviews, file and record review and obtained copies of pertinent documentation relevant to the investigation.

Interview with Staff #1 (S1) revealed that they worked at the facility for approximately three (3) years as live-in staff. S1 resided on the facility grounds with their mother, who is also a staff member, and their seven-year-old child. S1 primarily worked the night shift, while their mother worked the morning shift, ensuring the child was always supervised. S1 reported they resigned from the facility on Monday, 07/06/2026.

S1 stated they consistently ensured the safety of both the residents and their child, noting the child was always supervised. S1 reported they only heard of the alleged incident involving their child turning off a resident’s oxygen but did not personally witness it. S1 stated that when they asked the child whether they had touched residents’ oxygen tanks or entered any resident rooms, the child responded “no” and appeared unaware of the allegation. S1 reported their child knows not to enter resident rooms or roam the facility. S1 acknowledged that the child was occasionally in the kitchen with them or their mother but was always supervised. S1 stated residents are provided a safe environment and have not disclosed concerns regarding their surroundings.

Interview with the Facility Designee revealed that, to their knowledge, residents are provided with a safe environment and have not reported concerns or complaints. The Designee stated a staff member reported that S1’s child turned off a resident’s oxygen, prompting an internal investigation; however, the allegation was determined to have no merit. The Designee explained that the staff involved in the accusation were “fighting and not in good terms,” and the report appeared to be made “in retaliation.” The Designee stated S1 was spoken to about the allegation, but when they interviewed the resident involved, the resident was unaware of any such incident.

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Interview with Staff #2 (S2) revealed that they claimed to have witnessed S1’s child turn off a resident’s oxygen; however, S2 could not provide specific dates or times. S2 stated they reported the incident to their supervisor and that S1 was reprimanded. S2 reported that the facility is safe and provides adequate care for its residents.

Interview with Staff #3 (S3) revealed that they did not witness S1’s child turn off a resident’s oxygen and stated they do not believe the child is capable of such behavior. S3 reported the child generally stays in their room and does not roam the facility.

Resident Interviews revealed that residents feel safe at the facility and believe staff provide a secure environment. Residents reported no concerns regarding S1’s child, stating they occasionally see the child briefly when looking for S1 but do not observe the child roaming the facility. Residents stated they were not aware of any incident involving oxygen being turned off, and none reported that S1’s child tampered with their oxygen.

Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Licensee does not ensure staff are providing a safe environment for residents is deemed unsubstantiated at this time.

On the allegation, Staff do not adequately supervise residents it is the concern of the Reporting Party (RP) that facility staff do not adequately supervise residents due to taking care of the child. To investigate this complaint, LPA conducted in person interviews, telephonic interviews, file and record review and obtained copies of pertinent documentation relevant to the investigation.

Interview with Staff 1 (S1) revealed that they primarily worked the night shift while their mother worked the morning shift, ensuring that the child was always supervised. S1 stated they resigned from the facility on Monday, 07/06/2026. During their employment, S1 reported that they consistently ensured the safety of both the residents and their child, noting that the child was always accompanied by an adult. S1 stated that residents were adequately supervised and cared for by all facility staff.

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Interview with the Facility Designee indicated that residents are adequately supervised and that no concerns have been reported by residents or their families. The Designee stated that staff routinely check on residents to ensure their safety. They noted, “The staff are not perfect; we make mistakes, but we always do our best.” The Designee further reported that the facility conducts continuous in-service training to support ongoing improvement and development.

Interviews with Additional Staff revealed that they provide adequate supervision and have not received any concerns regarding resident care. Staff reported that they respond promptly to resident requests and conduct regular checks to ensure residents are clean, repositioned, and dry.

Resident Interviews revealed no concerns regarding staff performance. Residents reported feeling safe and adequately supervised. They expressed satisfaction with staff responsiveness, stating that staff assist promptly when help is needed. Residents acknowledged that while staff are not perfect, they are attentive, supportive, and overall “good.”

Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Staff do not adequately supervise residents is deemed unsubstantiated at this time.

No citations issued at this time. Exit interview conducted. Report was reviewed and a copy was provided.