Complaint Investigation Report

Regarding the allegation that Licensee does not ensure staff are properly trained to care for clients , the following has been concluded: LPA interviewed a total of five different staff members, all of whom confirmed that they had received both general onboarding training as well as specific training dedicated to the handling of potential behavior episodes in clients and adequate staff responses. Staff members interviewed stated that they felt adequately trained for the requirements of their respective positions. Additionally, the facility now uses a training portal provided by Relias to follow up on staff training and ensure compliance in that regard. However, training records in place prior to the implementation of Relias appeared incomplete and could not fully corroborate the adequacy of training at that time. As a result 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 or refute the alleged violation occurred.

Regarding the allegation that Facility physical plant is not kept in good repair , the following has been concluded: Previously employed staff complained to facility management that some of the appliances were dirty. Currently employed staff however did not corroborate the statements. Multiple inspections of the physical plant were also unable to corroborate the allegation. The washing machine and drier were observed to be operational and clean during the course of the investigation. The allegation is thus found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred.

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