Complaint Investigation Report

Allegation: An Uncleared adult is supervising clients.

It is alleged an un-fingerprint cleared female has been working at the facility for months. On 04/15/26 from 10:00 am- 11:00 am LPA conducted Interviews with S1-S5 regarding the allegation above. 5 out of 5 staff interviewed confirmed the above allegation. Additionally, during interview with S1, S1 reported that un-fingerprinted adult is contracted by the Licensee and this adult cannot leave the Licensees side or be alone in any of the resident’s bedrooms. Furthermore, S1 reports that the un-fingerprinted adult was contracted to help facility staff clen better, and contracted person is not alone in bedrooms as they are always accompanied by facility staff. On 04/15/25 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 4 of the 6 clients interviewed confirmed the allegation above, 2 of the 6 clients interviewed reported having no knowledge of the allegation above. On 05/20/26 LPA received a copy of caregiver contract dated: 08/22/25, per contract uncleared staff will assist clients with activities of daily living (ADLs), monitor behaviors, provide medication reminders, and will have access to confidential information relating to clients, business operations, medical or behavioral information, and financial records. Additionally, contract section 12 reads that employment may be contingent upon criminal background clearance, TB testing, licensing requirements, required training certifications, and health screening. On 04/16/26 and 06/04/26 LPA conducted a review of staff roster and facilities staff association; LPA did not observe the adult in question to be fingerprint cleared or associated with the facility.

Allegation: Staff do not ensure facility is free of bed bugs.

It is alleged that staff are not properly fumigating, replacing mattresses, or adequately addressing the bed bugs at the facility. On 04/15/26 from 10:00 am - 11:00 am LPA conducted Interviews with S1-S5 regarding the allegation above. 4 of the 5 staff interviewed confirmed the above allegation and reported that facility staff are put in charge of treating bedbugs instead of professionals coming to service the facility. 1 of 5 staff interviewed confirmed the allegation above, however, reports that the facility has a documented plan and service quote with Orkin pest control. On 04/15/25 from 1pm- 2:30 pm interviews were conducted with C1-C6 regarding the allegation above. 1 of the 6 clients interviewed being unaware of the allegation above, 2 of the 6 clients interviewed reported there were bedbugs at the facility in the past, 2 of the 6 clients interviewed denied the allegation above, 1 of the 6 clients interviewed confirmed the allegation above and reported having bed bugs in their bedroom. 5 of the 6 clients interviewed reported that facility staff are the ones treating the bedbugs. 1