Complaint Investigation Report

Allegation: Staff are not adequately supervising residents in care.

Regarding the allegation, “Staff are not adequately supervising residents in care ,” it is being alleged that staff are not supervising clients because used medical pads and clothes are thrown into the neighbors’ yard. Record review of C1’s Individual Program Plan (09/12/25) revealed C1 is very fast and will remove clothes while outside and throw them over the fence and requires constant monitoring and physical assistance. Two out of two witnesses (W1 – W2) indicated the facility has adequate staffing. On 02/12/2026, LPA interviewed S1 and S6 about a soiled white and blue depend underwear photo. S1 indicated C1 is the only who has the capability of tossing materials over the fence. S6 indicated C1 does not wear blue and white depends. LPA toured C1’s room and observed a white and orange disposable chuck and grey cloth chuck under a fitted mattress sheet. S6 indicated C2 and C4 wear white and blue depend underwear but are nonambulatory plus C4 is blind. C2 uses a wheelchair.

Regarding the allegation, “Staff are not adequately supervising residents in care,” based on record review, observation and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

An exit interview was conducted with Staff Almay and a copy of this report was emailed to the Administrator Johnette Bellosillo.