Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff does not have adequate staffing to care and supervise clients.

It is being reported that there is not enough staff. On 4/22/26, LPA Felisa Shirley reviewed all three client’s Behavior Support Plans and noted that C1, C2 and C3 require 2:1 staffing. Per interview with S1 - S10, there are 6 staff required per shift. LPA Shirley reviewed Mountain Top’s staff schedule and noted that all AM and PM staff were present today. Per interview with S1, there were no call outs. Per interview with S1, they have on call roster prepared to cover any immediate shift gaps. Per interview with S1 – S10, should a staffing shortage occur, management will step in to ensure continuity by covering shifts. Per interview with S1, staff were released in February and March due to not passing the Registered Behavior Technician, (RBT) exam, and S1 reports that 11 new employees are currently in orientation, and they are moving quickly to restore full scheduling capacity.

LPA interviewed staff 1 – staff 10 (S1 – S10). Of those interviewed 10 out of 10 denied the allegation. LPA interviewed Client 3 (C3), which denied the allegation. C1 and C2 are non-verbal.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff does not have adequate staffing to care and supervise clients,” 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 Director McKenzie Haulcy.