Complaint Investigation Report

LPA requested, obtained and reviewed client records along with personnel files maintained at the facility.

Regarding the allegation that Personnel File not available for a staff member, the following was concluded: Based on a review of the personnel records at the facility, LPA was able to observe that records are complete and include all necessary component for all staff members on the roster. Staff member S1's records were reviewed at the facility and are complete also. Staff member is adequately cleared and associated to the facility. Based on records reviewed, the allegation is therefore found to be Unsubstantiated, meaning that 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.

Regarding the allegation that Client Personal & Incidental funds records not available for review, the following was concluded: Personal and Incidental Funds records were observed to be present, cash on hand was also observed by LPA to be present and accurate. Monthly balances for the month of April have not yet been finalized however ledgers were found to be up-to-date and present until the month of March 2023. Facility administrator stated that the ledgers were temporarily kept off site during a period of leave for the house manager out of an abundance of caution but that they have been relocated back to the facility at the time of the present visit. As a result, based on the records reviewed and interview conducted, the allegation is found to be Unsubstantiated, meaning that 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.

An exit was conducted and a copy of this report was provided to the facility representative.