Complaint Investigation Report

The LPA interviewed Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), and Clients 1 through 3 (C1-C3). Staff

interviewed reported routine cleaning and housekeeping practices were conducted throughout the

facility. Clients interviewed did not report concerns regarding the overall cleanliness of the facility.

Allegation: Staff did not prevent residents from engaging in a physical altercation with

LPA interviewed S1-S3 and C1-C3 regarding allegation above. Staff interviewed denied witnessing

residents engage in a physical altercation with another adult and reported no knowledge of an

incident matching the allegation. Clients interviewed similarly denied witnessing or having

knowledge of residents physically assaulting another individual.The LPA reviewed resident records, staff records, recent incident report, the LIC 500 Personnel Report, and staff schedules.

Allegation :Staff did not prevent residents from using illegal drugs in the facility - Unsubstantiated

As part of the investigation, the LPA reviewed information obtained from interviews conducted by the Department with C1. During the interview, C1 denied ever observing residents use fentanyl, heroin, or other illegal narcotics within the facility. C1 reported believing another resident may have injected an unknown substance but acknowledged not knowing what substance, if any, was involved. C1 further reported the resident had medical conditions requiring injectable medications and stated staff had not located prohibited substances during room searches. Additional interviews conducted by the LPA with C2 and C3 did not produce information corroborating the allegation. The LPA also reviewed resident records.