Complaint Investigation Report

Interview with C1 stated that they left their television and video game system out in the living room and while they were out of the facility, one of the staff returned the items to C1s room. C1 stated to leave their door locked so the only way that happened was if staff accessed the room without permission. All staff interviewed denied the incident occurred and they do not access C1's room without permission. Regarding the door knob, C1 stated to have locked the door knob themselves to prevent other clients from using the bathroom and would remove the door knob themselves to go back in. Staff stated they observed the behavior and changed the door knob to one that can be opened with a key in order to prevent C1 from locking other clients out of the bathroom. LPA observed all bathroom doors and private rooms to have door knobs. Based on interviews, observations, and file review; 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.

In regards to the allegation "Staff lock client out of common areas" it is alleged staff are directed to not allow C1 access to the laundry room. (3) of (3) Staff interviewed denied the allegation. (2) of (3) Clients interviewed could not corroborate the allegation. Interviews show that on 2/28/25, the facility had a new washing machine installed. Staff stated that C1 wanted to use the washing machine and was asked if they could wait until Administrator arrived to go over guidance on using the new machine properly. S2 was the staff on shift who communicated this to C1. S2 stated to have closed the door to the laundry room but did not lock it or forbid C1 from using the machine. There is also a bathroom there for anyone to use, so the door is never locked. C1 stated they were having a bad day, and due to S2's lack of English speaking skills, believed that staff were personally not allowing C1 to use the laundry room and so they kicked the door down immediately. C1 could not say whether the door was actually locked or just closed. Based on interviews, observations, and file review; 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.

Exit Interview conducted and a copy of this report was provided.