Complaint Investigation Report

Three (3) of four (4) clients were interviewed and reported they have never witnessed Mr. Walls or anyone in the home smoke marijuana in the facility or drink alcohol until they pass out. Three (3) staff were interviewed and reported they have never smoked marijuana and/or drank alcohol in the facility, nor have they observed other staff do so. Three (3) staff interviewed reported they have never fainted/passed out or witnessed or have knowledge other staff have fainted in the facility. Mr. Walls was interviewed and reported they do not smoke marijuana, and he has never consumed alcohol in the facility. Mr. Walls added they have never suffered a medical emergency in the facility that has resulted in them fainting/passing out.

Regarding the allegation, “Adult in the home does not accord a resident privacy while in the restroom” it was alleged Mr. Walls opens the restroom door when C1 is using the restroom. Three (3) of four (4) clients, including C1, were interviewed and reported Mr. Walls/facility staff have never opened the restroom door while in use. Mr. Walls was interviewed and reported they have never maliciously opened the restroom door while the clients are in there. Mr. Walls explained C1 has a history of self-injurious behaviors including swallowing items such as toothbrushes, screws, nails, and anything within reach resulting in C1 requiring immediate medical treatment. Mr. Walls reported the facility takes preventative measures to secure any items that may be potentially dangerous for C1 and within reach, but C1 has snuck items into the facility and swallowed them. Mr. Walls was unable to recall ever opening the restroom door while C1 was using restroom but reported he would only open C1’s restroom door if there was a serious health or safety concern for C1’s life due to their self-injurious behaviors. Mr. Walls reported he was unable to recall if he may have accidentally opened the restroom door when a client was present and there was no indication the restroom was occupied such as having the restroom light on or door locked.

LPA reviewed C1’s Physician’s Report dated 1/28/2023 indicating C1 is ambulatory and has the capacity to communicate, follow instructions, bathe, dress, feed themselves, and care for their own toileting needs. C1’s Physician’s Report also indicates C1 does not have the capacity to store their own medications, leave the facility unassisted, or manage their own cash resources. LPA reviewed C1’s Individual Program Plan (IPP) dated 11/30/2022 noting C1 has a long of history violent and suicidal behavior. C1’s IPP also notes C1 has a history of swallowing a regular sized toothbrush, silicone packet, and batteries.

During an interview, C1 reported the allegations had been fabricated. Additionally, one (1) of four (4) clients residing in the home refused to be interviewed. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report and Confidential Names list (LIC 811) was reviewed over the phone with Administrator Stokes and provided to Caregiver Ford.