Complaint Investigation Report

In regards to the allegation "Staff did not ensure facility is free of pests" it is alleged that the facility has roaches and the roaches have been observed in clients personal belongings. (2) of (2) Staff interviewed denied the allegation. (3) of (4) Clients interviewed could not corroborate the allegation. Further information provided stated that C1 was observed to have roaches on their personal belongings when attending their day program on 1/13/25 and again on 1/14/25. LPA interviewed C1 who corroborated having roaches on their person as well as their personal items. C1 confirmed to have seen roaches in their home. File review shows record from C1's day program reporting roaches observed on C1's person for the dates of 1/13/25 and 1/14/25. File review shows the facility contracted an extermination company on 1/22/25 where roaches were noted to be in the facility. There is no documentation of pest control services prior to that date. During the tour of the home, LPA observed dying roaches throughout the facility. This shows the staff did not ensure the facility to be free of pests prior to 1/22/25 when pest control was contacted.

Based on LPA’s interviews, observations and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency cited on the attached LIC 9099D.

An exit interview was conducted, and a copy of this report was provided to Administrator Akinwale Victor Orunesajo. Appeal rights also provided and discussed.