Complaint Investigation Report

The investigation revealed the following. Regarding Allegation(s): Staff do not keep the facility free of drugs- It is alleged staff do not keep the facility free of drugs. Three (3) out of the four (4) staff interviewed confirmed this allegation. Four (4) out of the four (4) clients interviewed confirmed this allegation. During tour of first floor, LPA was walking down facility hallway in between rooms 10 -20, LPA Ramirez could smell a strong odor of marijuana in this hallway. Interviews with staff and clients confirmed that some clients smoke marijuana in their rooms and the smoke seeps into other client rooms and into other areas of the facility. LPA Ramirez will issue deficiency. Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Staff do not maintain the facility in a clean condition- It is alleged that staff do not maintain the facility in a clean condition. Three (3) out of the four (4) staff interviewed confirmed this allegation. Four (4) out of the four (4) clients interviewed confirmed this allegation. During tour of second floor, LPA Ramirez observed the words “JURAME JURAME” sprayed painted in silver on the outside of client door# 209 and “UGLY” sprayed painted in silver on the outside of client door# 212. LPA Ramirez observed “Report Information and Victims’ Bill Rights (dated 2/12/24- Report# T-33), regarding the alleged property damage to the facility. LPA Ramirez observed an unknown wet substance on the stairs on stairway and a discarded stained white sheet or towel in the same stairways. LPA Ramirez took photos of observations. LPA Ramirez will issue deficiency based on observations and interviews. Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Staff only provide clients with old mattresses- It is alleged the facility does not provide clients with clean and new mattresses. Four (4) out of the four staff interviewed deny this allegation. One (1) out of four (4) clients interviewed deny this allegation. During tour of random rooms, LPA Ramirez observed the mattress in room #27 to contain a burn mark in two places. Although the mattress was observed to contain a white plastic mattress protector, LPA Ramirez could see the outline impression of a burn and could feel the mattress springs through the mattress protector, directly over the burned area. LPA Ramirez took photos of mattress and will issue deficiency. Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Exit interview was conducted. A copy of this report, 809-D and appeals rights was provided.