Complaint Investigation Report

It is alleged that facility gate does not close properly and that the security door for the main gate is locked all night. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 1 of the 5 staff interviewed reported having no knowledge of the above allegation. 4 of the 5 staff interviewed denied the above allegation. 4 of the 5 staff interviewed reported that the motor to the automatic gate is currently not working, however the gate is still able to close manually. Additionally, staff report that clients were provided with keys to the gate door so that they can access the community and facility at night. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the above allegation. 6 of the 6 clients interviewed reported that the staff must close the gate manually at night. Additionally, 6 of the 6 clients interviewed reported that they have never been locked out of the facility as they have a key to the gate door. On 04/15/26 during tour of the facility, LPA asked S1 to demonstrate how the facility gate is manually closed. LPA observed gate to close with no issues nor door jams. LPA also observed the side gate door to open and close with no problems.

It is alleged that the facility bathrooms are dirty. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 5 of the 5 staff interviewed denied the allegation above and reported that facility bathrooms are cleaned daily. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the above allegation and reported that facility bathrooms are cleaned daily. On 04/15/26 LPA observed bathrooms to be clean, and on 05/13/26 LPA observed staff cleaning upon arrival to the facility.

It is alleged that facility showers are dirty. On 04/15/26 from 10:00 am- 11 am LPA conducted Interviews with S1-S5 regarding the allegation above. 1 of the 5 staff interviewed reported being unaware of how often the showers are cleaned. 4 of the 5 staff interviewed denied the above allegation and reported that showers are cleaned daily. On 04/15/26 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 6 of the 6 clients interviewed denied the allegation above and reported that showers are being cleaned. On 04/15/26 and 05/13/26 LPA observed facility showers to be clean at the time of visit.