Complaint Investigation Report

On 11/2/23 at 9:15am LPA Shirley and Administrator, Joy Suarez toured the facility. At 9:50am, LPA conducted interviews with both staff and residents. At 10:30am, LPA Shirley reviewed facility files. During file review, found there to be no evidence of harassment, nor write ups for mistreatment of clients in care. LPA interviewed all staff, staff 1 – staff 8. LPA ask, “Does staff yell at the clients?”, and 8 out of 8 stated no. LPA interviewed one client, C-1, as the other three residents, (C-2 to C-4), are non-verbal. LPA ask resident, “Does staff yell at you?” The client answered no.

Based on information gathered, the department did not find sufficient evidence to support allegations "Staff yelled at residents.” 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.

Allegation: Staff leaves hazardous chemicals out accessible to residents

On 11/2/23 while LPA Shirley and Administrator Joy toured the facility, LPA did not observe any type of hazardous chemicals accessible to residents. During the inspection, the administrator located and unlocked all cabinets containing cleaning supplies and chemicals to show that alleged items were locked away from persons in care. LPA interviewed all staff, staff 1 – staff 8. LPA ask, “Do you lock up hazardous chemicals?”, and 8 out of 8 stated yes. LPA ask C-1, “Have you observed hazardous chemicals or had access to hazardous chemicals?” Client C-1 stated no.

Based on observations and interviews, the department did not find sufficient evidence to support allegations "Staff leaves hazardous chemicals out accessible to residents.” 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.

Allegation: Staff leaves sharp objects out accessible to residents

On 11/2/23 while LPA Shirley and Administrator Joy toured the facility, LPA did not observe sharp items accessible to residents. During the inspection, the administrator located and unlocked all cabinets containing sharp items to show that alleged items were locked away from persons in care. LPA interviewed all staff, staff 1 – staff 8. LPA ask, “Do you lock up sharp items, such as knives, scissors, and razors?”, and 8 out of 8 stated yes. LPA ask C-1, “Have you observed sharp objects that were not locked up?” Client C-1 stated no. Upon file review and a review of an incident report submitted, there are no reports of injuries from sharp objects from this facility.