Complaint Investigation Report

LPA collected documents such as: the food menu for the last six (6) weeks, Staff and Client Roster , Pest Control Services Receipts for three(3) months, Maintenance logs for month of April and May, Food supply order list from mid-May to mid-June. Viewed maintenance logs from 2021 to 2024. Reviewed 6 random employee files. Tour of the physical plant to include the following client rooms: 9A, 24A, 220B, 26A, 106A,

Allegation#1 "Facility staff are selling drugs to residents." It is alleged that S4 is selling drugs to clients in care. S4 no longer works at the facility and refused to interview. LPA interviewed thirteen (13) clients and all clients have no knowledge of the allegation and reported they never did drugs in the facility, and they never witnessed any staff selling drugs to the clients in the facility. LPA interviewed four (4) staff and reported that they never witnessed any drug activity in the facility, and they never witnessed any staff sell drugs to clients in the facility. Administrator also stated that they are zero tolerance for drugs in the facility. The facility also has camera 24/7 on the front and back of the facility. And no clients ever reported to the administrator about drug dealing in the facility or outside the facility. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation#2 “Facility staff are working while under the influence drugs/alcohol” It was alleged that staff came to work under the influence of alcohol and drugs. The Manager denied the allegation and expressed that staff do not come to work under the influence nor do they smell of drugs and alcohol. 4 of 4 staff denied the allegation stating they have never come to work under the influence or witness other staff coming to work under the influence. 13 out of 13 residents have no knowledge of the allegation stating they have not witness staff influence of drugs or alcohol at the facility. LPA observed staff working and staff did not appear to be intoxicated. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation #3- “Facility does not require staff to have complete records” It was alleged that facility staff was not having completed records in their file. LPA interviewed residents, thirteen (13) out of thirteen (13) residents interviewed did not have knowledge of the allegation. Residents stated staff were able to provide care to residents needs. LPA interviewed staff, all four (4) staff interviewed denied the allegation and stated they have complete records on file. Per staff record reviews, staff has all necessary documents in their employee files. Six (6) random staff files were viewed. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.