Complaint Investigation Report

Allegation: Staff did not seek medical care for clients in care

During investigation, LPA interviewed staff (ADM, S1). LPA was unable to interview C1, C3, C4 because they were non-verbal. Staff stated they closely supervise C1, C3, C4 because they have eating disorders (PICA) and are non-verbal. C2 who is high functioning and verbal stated that staff always assisted each client timely with their medical needs. Review of clients’ medical records, after visit summary reports dated 082025 and 09/2025 showed staff monitored each client’s change in condition and called 911 for evaluation and treatment. Based on records review, interviews conducted, and observations made, Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not seek medical care for clients in care is unsubstantiated.

Allegation: Staff handled clients in a rough manner

During investigation, LPA interviewed staff (ADM, S1). Staff (S1) denied physically abusing or rough handling any client while in care. C2 who is high functioning and verbal stated she has not witnessed any staff handle any client in a rough manner. During unannounced visits on 08/08/25 and 08/28/25, LPA observed C1, C2, C3, C4 with no scratches or bruises on their face, arms, body or legs. LPA also reviewed clients’ medical records dated 08/2024 until 09/2025 which showed routine check-up results and medication updates for each client. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff handled clients in a rough manner is unsubstantiated.