Complaint Investigation Report

Regarding allegation: Staff are allowing smoking indoors at the facility.

On 11/17/2023, LPA interviewed staff S1-S6 about the allegation above, and all staff denied the allegation. The staff also stated they forcefully told the client to go outside to smoke. Smoking is not allowed inside the facility. LPA Richard interviewed clients C1- C7, and all clients stated that they did not see anyone smoke inside but outside in front or in the back of the facility.

Based on LPA interviews, LPA did not find sufficient evidence to support the allegation, Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation staff are allowing smoking indoors at the facility is UNSUBSTANTIATED .

Regarding allegations: Facility has pests.

On 11/17/23, LPA interviewed staff S1-S6 about the allegation above, all 6 staff agreed the allegation is not true. The client's room did not have bedbugs. The staff also reported if a client reports that they have noticed bed bugs in their room the staff immediately spray bed bug spray and call the exterminator. LPA interviewed clients C1-C7. 6 out 7 clients stated they did not observe beg bugs in their rooms. During today investigations, LPA, Administrator and housekeeper did not observe bedbugs in Clients C1, C7. However, the administrator called the exterminator orkin to come and spray some of the client's room.

Based on LPA observation and interviews there is no sufficient evidence to support the above allegation, although the allegation may have happened or is valid, there is no preponderance of evidence to prove alleged violation did or did not occur, therefore the allegation facility has pests is unsubstantiated

Regarding allegation: Staff illegally opened resident mail.

On 11/17/23, LPA interviewed staff S1-S6 about the allegation above, and all staff denied the allegation. Staff stated they do not illegally opened resident mail. Staff S1(Adm) stated the reason he opened client C1 mail is because he was waiting for a SSI check for C1. When the check came it looked the same as all the checks the facility receive for all the clients. We stamp the check as we do for all the clients' SSI and we deposit it automatically from our office. On 11/03/23, staff S1 notify the client C1 about the check while S1 was driving C1 to the bank. LPA interviewed clients C1-C7. 6 out 7 clients stated they were okay with how the staff gives them their mail. Clients stated they never had any problem receiving their mail.

Based on LPA interviews, and records reviewed, LPA did not find sufficient evidence to support the allegation, Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation staff illegally opened resident mail is UNSUBSTANTIATED .