Complaint Investigation Report

During today's visit the investigation revealed the following: in regard to the allegation, “Staff do not prevent residents from using illegal drugs.” It is alleged that residents are doing illegal drugs at the facility. It is also alleged that C1 is doing methamphetamine in C1’s room and other residents are also doing methamphetamine. This allegation was investigated by the Investigation Bureau (IB) and was assigned to Investigator Santana. LPA reviewed IB interviews which revealed the following: The facility conducts random drug tests when there is suspicion of drug use. C1 moved into the facility on 12/06/2024 with a known history of substance use that was being addressed by outside case managers. When one such case manager notified the facility on 1/26/2025 about concerns that C1 was smoking methamphetamine in C1’s facility room, the facility had C1 perform a urine drug test. Although the drug test appears to show a positive result for methamphetamine, the facility contends it is negative. This investigation found no evidence that the facility reported this drug use allegation to C1’s psychiatrist at that time, which the facility would normally do for such a concern, but the case manager was aware of it and addressed it through C1’s outside program. C1 tested positive for methamphetamine at the program in July and October 2025, but it appears the program did not report these results to the facility, so the facility was unaware. However, because the facility noted a change in C1’s behavior, it did notify this change in condition to C1’s psychiatrist, which the psychiatrist confirmed. Although the Administrator believes the facility should have drug tested C1, and followed up with the case managers, more frequently, this investigation cannot conclude that the facility did not make efforts to address C1’s drug use. Therefore, there is not enough evidence to substantiate.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was held, and a copy of this report was provided to the Administrator, Estefany Lopez.