Complaint Investigation Report

I1 expressed frustration that the clients were allowed to “go wherever” they wanted in the common areas. I1 explained that clients should be in their rooms between 2100 hours to 0800 hours and I1 expressed being upset that the clients have access to the whole house. Staff and client interviews revealed that I1 “gets loud” with them, has had verbal altercations with them, screams and yells at them, acts erratic, makes them feel uncomfortable, and has reviewed unsecured client files without their consent. Both staff and client interviews revealed that there have been multiple instances where a pin was observed inserted in the sliding door that provides the female clients with access to the living room. The pin in the door prevented the door from opening. Interviews also revealed that I1 stated they had drilled the hole and placed the pin into the door to lock it. During facility inspection, the Department observed a hole in the door consistent with interviews conducted. Interviews with staff and clients revealed that I1 locked the refrigerator preventing the clients access to food on more than one occasion.

Interviews with I1 and staff, along with a review of available information, revealed sufficient evidence to support the allegation that the facility is not kept clean, safe, and sanitary. It was revealed that I1 may possess or store firearms at the facility. I1 admitted possessing firearms but denied storing them at the facility; however, one staff witness observed I1 with a firearm on the premises in 2025. Staff also reported that I1 made verbal threats involving the use of a firearm against clients or other individuals in 2025 and 2026. I1 and Licensee denied access to I1’s room, preventing verification of whether firearms were present or stored inside. Additionally, I1 resides in a room where the entryway was observed obstructed. Licensee stated they did not have key or access to this room in the event of an emergency. As mentioned above, I1 locked clients in area of the facility which is not approved to be locked. During the 04/27/2026 facility visit, LPA and LPM smelled a urine odor in the facility, and observed unsecured medications, motor vehicle chemicals, pesticides, and manual and power tools accessible to clients in care. Interviews with staff and clients revealed that they have observed containers of human urine and feces around the facility.

Interviews with I1, staff and clients revealed sufficient evidence to support the allegation that I1 may possess, store, or consume controlled substances at the facility. In April 2026, Client 1 (C1) directly observed I1 smoking a glass pipe used with methamphetamines on the premises and reported that I1 made comments regarding seeking money to buy and share drugs. I1 and Licensee denied access to I1’s room, preventing verification of whether controlled substances were present or stored inside.