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- Complaint
- During a buildings and grounds walkthrough, multiple residents expressed concerns about the facility.
- Licensing follow-up: On 11/17/22, Licensing interviewed residents and staff, and reviewed camera footage. Complaints:
- 1) Client reported she doesn’t feel safe, and stated a staff member called her and her mother “nasty.” Client alleges the staff member stated “get the girl away from me because if she comes over here, she’ll have to fight me” (Video reviewed, Licensing couldn’t determine what was said; Unfounded).
- 2) Client stated staff member is “always” telling one resident what another resident is saying about them, and stated a staff member can corroborate this. She also reported safety concerns (founded, cited 911.6), 2 residents self-harming with staples, and not having a hairbrush or conditioner.
- 3) Client concerned about “black mold” on unit and lack of soap (citation & TA provided), and a sexual assault report not followed up on (Licensing verified report was investigated by state police).
- Regs out of compliance –
- 911.6 – Showers not draining properly (correct by 12/17/22), black substance around skylight feature on blue unit (repair by 11/25/22), exposed outlet with wire and screws behind a chair in the orange unit dayroom (repaired on-site).
- TA –
- 912.6 – No soap found in any bathroom on the unit or day areas.
- 914.8 – Ensure severe weather drills are completed quarterly (facility reported they believed they were required every 6 months).
- Revisit on 11/23/22: Drains in the process of being repaired (partially completed), wall plate was replaced, black substance cleaned and painted. Staff informed Licensing that residents are allowed a hairbrush and conditioner only during hygiene, and that upon request, residents are provided a small cup of liquid soap to wash their hands. MARs reviewed for 5 residents. No licensing concerns noted.
