Complaint Investigation Report

Allegation: Staff did not ensure that a firearm is stored locked and inaccessible to residents

It is alleged that a member of staff pulled a gun on C1. On 1/31/25, LPA Shirley and Department staff conducted a tour of the facility and observed that there were no clients residing in the facility at this time. During the tour, LPA and Department staff did not observe any firearms.

LPA interviewed Staff - 1(S-1), and he denied the allegation. LPA interviewed Client -1 (C-1). C1 confirmed the allegation.

Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff smoke drugs in the facility

It was alleged that staff smokes marijuana in the facility. During the tour of the facility, there was no discernible marijuana odor present. LPA Shirley viewed the Individual Program Plan, IPP dated 10/16/24. Per the IPP, C1 has a history of alcohol and drug use.

On 7/30/25, LPA interviewed Staff - 1(S-1), denied the allegation. LPA interviewed Client - 1(C-1). C1 denied the allegation.

Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were cited for these allegations.

An exit interview was conducted and a copy of this report was provided to the Administrator, Mark Thomas.