Complaint Investigation Report

The Department interviewed staff regarding the complaint allegation and 5 of 5 staff stated that C1 receives assistance with brushing their teeth up to three times a day. 5 of 5 staff stated that clients do not leave the house in dirty clothes and that their clothes are washed daily. 5 of 5 staff stated that clients receive up to two showers a day. 1 of 5 staff informed the Department that C1 has daily nosebleeds and sometimes stains are found on their shirts.

The Department observed C1 to be clean and had their teeth brushed during the initial visit and during LPAs visit on April 4, 2026.

Regarding the facility allegation of Facility staff is restricting clients from visitors revealed the following: it was alleged that staff was only allowing one visitor a week for C1. LPA reviewed C1s admission agreement dated June 28, 2024, with a visitors policy stating that visitors may come during consumers waking hours. This agreement was signed and dated by Witness #1 (W1) and facility staff. LPA reviewed C1s IPP dated July 3, 2024, that stated C1 has family visits and outings on a weekly basis with no restrictions from the facility. LPA reviewed activity logs for C1 dated October 2024-December 2024 that stated C1 had visitors up to two times a week. LPA reviewed sign out logs for C1 where visitors came bi weekly from July-December of 2024.

The Department interviewed Witnesses of C1 and 1 of 2 witnesses informed the Department that C1 had dirty teeth and appeared to be dirty and smelly on a visit. 1 of 2 witnesses informed the Department that they have no issues with trying to visit C1 and has no concerns with the facility.

The Department interviewed 5 of 5 staff regarding the above allegation and 5 of 5 staff stated that the facility does not restrict visitors for clients in care. 5 of 5 staff informed the Department that C1 has weekly visitors. 5 of 5 staff informed the Department that visitors can come more than once a week.

LPA attempted to interview 3 of 4 clients regarding the complaint allegations and 3 of 4 clients did not confirm or deny the allegations.

LPA reviewed staff files and observed that 2 of 2 current staff have received DSP 1 and DSP 2 training as well as clients rights training when on boarded to the facility.

Based on interviews conducted, observation and record review the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.