Complaint Investigation Report

The program director sent additional staff to assist, and the clinical director spoke to C1 and C2. C1 reportedly apologized to C2. Staff reported that after the incident C1 spoke with a family member and informed staff they would be leaving the facility on 5/3/21. Staff interviewed reported that they spoke with C1’s family member and it was agreed C1 would leave the facility at their request on 5/3/21. 4 out of 4 staff interviewed denied the report they disrespected C1 or treated C1 in an inappropriate manner. 4 out of 4 Clients at the facility at the time of the incident declined to be interviewed. C1 could not be reached and was never interviewed. A review of facility records shows C1 was discharged from the facility on 5/3/21. Based on the evidence gathered the allegation is deemed unsubstantiated, although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.

The investigation into the allegation, facility did not provide resident care and treatment as outlined in the admission agreement, revealed the following. It was alleged Client 1 (C1) did not receive the treatment outlined in the admission agreement and that some sessions were interrupted by other clients. The admission agreement stated that C1 would have the following, weekly individual session therapy with qualified mental health professional, daily group therapy sessions and weekly case management sessions. C1 participated in weekly case management sessions on 4/25/21 and 4/27/21. C1 participated in group sessions each day from 4/26/21 to 5/3/21. C1 participated in individual therapy sessions on 4/27/21 and 5/3/21. C1 participated in a family counseling therapy session on 4/29/21. It was alleged that the care provided did not meet the standards agreed to in the Admission Agreement. No details were provided concerning this aspect of the allegation. C1 could not be reached and was never interviewed. 4 out of 4 clients at the facility declined to be interviewed. 4 out of 4 staff interviewed reported that all clients are treated with respect and cared for in an appropriate manner. No evidence was gathered that could corroborate the allegation. Based on the evidence gathered the allegation is deemed unsubstantiated, although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.