Complaint Investigation Report

It is also alleged that when the staff takes the mat to dry, staff does not replace it with another mat. LPA interviewed the Administrator and two (2) staff that denied the allegation stating that they cannot recall the incident of C1 slipping sustaining injuries on 07/26/2025. However, the Administrator, and two (2) staff stated that the facility shower floors are safe and are not a slipping hazard as slip proof mats kept in the shower. LPA interviewed C1 that corroborated with the allegation but the C1 stated that the incident occurred on 07/14/2025 and it was reported to Former Staff #3 (FS3). LPA attempted to interview FS3 but was unable to interview because FS3 is no longer the staff of the facility and the phone number on record is no longer FS3’s phone number. LPA reviewed facility SIRs (Special Incident Reports) and there are no SIRs regarding the incident that allegedly occurred on 7/26/2025 or 7/14/2025. During today’s visit, LPA observed that the shower in the bathroom has a slip proof mat. LPA interviewed an additional six (6) clients that denied the allegation that indicated that the showers are safe and not a slipping hazard and that the facility continues to provide slip proof mats in the bathroom shower. There is not enough sufficient 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 allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was held and a copy of this report was provided to the Administrator Carolee Hazzard.