Complaint Investigation Report

Allegation: Facility do not have adequate staffing to care and supervise residents.

The complaint alleged that the facility lacked adequate staffing to care for and supervise residents due to three staff members having quit. On November 19, 2025, the Licensing Program Analyst (LPA) Richard interviewed the Administrator A1, who denied the allegation and stated that the facility has sufficient staff to care for the clients, even if some staff leave. The LPA also interviewed the Assistant Administrator A2, who indicated that they had quit after Client C1 became physically aggressive toward staff members, but returned once C1 was no longer living at the facility.

Additionally, the LPA interviewed three staff members (S1, S2, and S3), all of whom denied the allegation and asserted that there are plenty of staff available to replace anyone who decides to leave. The LPA also interviewed three Clients (C2-C4), who expressed satisfaction with living at the facility and stated that the staff treated them well.

Furthermore, on November 19, 2025, the LPA reviewed a document from John F. Kennedy Memorial Hospital (dated July 19, 2023), which indicated that Client C1 was admitted under a 5150 hold and did not return to the facility after discharge. The conservator requested via email that the service be terminated.