Complaint Investigation Report

The details of the complaint alleged that the facility’s staffing is insufficient to meet the needs of the clients. On 4/09/2026, from 10:15am-12:00pm, the department interviewed staff (S1-S5) and on 05/15/2026 the department interviewed clients (C1-C3) regarding the allegation. 5 of 5 staff denied the allegation that Facility is providing insufficient staffing. All staff stated that they work in the facility various shifts and hours during the week and weekends. Staff also stated that the clients are never left alone at the facility and that there are always staff present to take care of the clients.

The department interviewed clients (C1-C3) about the allegations and 2 out of 3 clients denied that there is insufficient staffing. While one client, due to cognitive difficulties, was not able to participate in the interview fully. Client (C2-C3) stated that they are never left alone and that staff are always here to take care of them. The department asked if there are staff when you wake and when you go to bed, C2-C3 stated yes, staff are always here.

The department observed that the clients are at the day program from 9:00am-1:00pm Monday through Friday. The department reviewed the staff roster and verified scheduling by interview and observed that staff are scheduled Monday through Sunday on various shifts overlapping one another to cover a 24-hour period.

Based on interviews and records that were reviewed, there is insufficient evidence to support the allegation that Facility is providing insufficient staffing. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

No citations were issued for this complaint investigation.

An exit interview was conducted with Jonathan Stump, Direct Support Professional, and a hard copy of this Complaint Investigation Report was provided.