Complaint Investigation Report

It was also alleged that Facility is not meeting the clients' needs. LPA interviewed two of two clients to ask if their needs were being met. One of two clients denied the allegation and one of two clients could not confirm, nor deny allegation. LPA interviewed four of four witnesses. Three of the four witnesses stated clients needs were being met. One of four witnesses stated the facility could improve on meeting client needs by offering more activities but did not feel that it affected care being provided.

LPA reviewed four of four client records and observed all client records contained Individual Behavior Support Plans (IBSP) for the month of August 2024. Thus, clients behavior consultations were completed and four of four clients' needs were met.

Based on LPA observations, file review and interviews, although the allegations may have happened, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore the allegation that Facility not meeting clients' needs is Unsubstantiated.

An exit interview was conducted with Fey Ojo, Direct Support Professional and a copy of this report and LIC 811 was provided to the facility.