Complaint Investigation Report

Allegation: Staff caused multiple injuries to clients in care

During investigation, LPA interviewed staff (ADM, S1). Staff (S1) denied physically abusing any clients while in care. LPA tried to interview clients (C1, C2, C3, C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. On prior unannounced visits on 09/25/25 and 11/19/25, LPA observed clients (C1, C2, C3, C4) did not have any visible bruises or scratches on their face, eye area, body, arms or legs. Based on records review, interviews conducted, and observations made, LPA has investigated the above allegation that staff caused multiple injuries to clients in care and found it to be unsubstantiated. 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 caused multiple injuries to clients in care is unsubstantiated.

Allegation: Staff did not provide medication assistance to clients in care

During investigation, LPA interviewed staff (ADM, S1). LPA tried to interview clients (C1, C2, C3, C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. Review of clients’ medication administration records and centrally stored medication logs dated 08/2025 and 09/2025 showed staff administered C1, C2, C3, C4’s medications as prescribed by their primary care physicians. 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 did not provide medication assistance to clients in care is unsubstantiated.