Complaint Investigation Report

The investigation revealed the following:

Allegation: Facility staff do not allow clients to rest in their beds when they are sick

It is being alleged that the licensee does not allow clients to stay at the facility to rest when they are sick. On 02/25/26 from 11:00 am- 12pm LPA conducted Interview with S1 regarding the allegation above. S1 denied the allegation above and stated that clients are allowed to stay at the facility when feeling ill as S1 would be at the facility with them. On 02/25/26 and 03/19/25 LPA conducted interviews with C1-C8 regarding the allegation above. 3 of the 8 clients interviewed denied the allegation above, 4 of the 8 clients reported having no knowledge of the allegation as they have not missed programming, 1 of the 8 clients interviewed confirmed the allegation above, and reported no one is allowed to be at the facility alone.

Allegation: Facility staff threatened clients.

It is being alleged that the licensee is threatening clients in care. On 02/25/26 from 11:00 am- 12pm LPA conducted Interview with S1 regarding the allegation above. S1 denied the allegation above and reported that clients have never been threatened for expressing concerns regarding their care. On 02/25/26 and 03/19/25 LPA conducted interviews with C1-C8 regarding the allegation above. 7 of the 8 clients interviewed denied the allegation above and reported feeling safe at the facility. 1 of the 8 clients interviewed did not wish to answer the question asked.

Unsubstantiated: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.