Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation “Uncleared adult(s) present in the facility”, it is being alleged that adults who are not finger print cleared are working in the facility and/or are present in the facility. Records reviewed revealed the following: Personnel Report, Staff Schedule for December 2024 and January 2025, and the departments list of Cleared Personnel indicate that all staff members are cleared to work at this facility. Interviews conducted revealed the following: 4 out of 4 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

Regarding the allegation “Facility staff did not prevent physical altercations between residents”, it is being alleged that facility staff do not prevent (mitigate) physical altercations between clients in care. Interviews conducted revealed the following: 4 out 4 clients denied the allegation and 4 out of 4 staff denied the allegation. Observations revealed the following: CCLD staff observed staff using de-escalation methods with clients in care. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

An exit interview was conducted, and a copy of this report was left with the Administrator.