Complaint Investigation Report

LPA observed three (3) clients present in September 2025 and current. LPA interviewed three (3) clients, all of whom confirmed there has been minimum of two (2) direct care staff members present to provide care for the clients. LPA interviewed three (3) staff members, all of whom also confirmed there has been two (2) to three (3) direct care staff members in each shift. LPA observed three (3) clients, and two (2) direct care staff present which met the required staff to client ratio at the time of LPA’s inspection.

Based on records review and interviews conducted, the allegation that facility is not following required staff to client ratio is unsubstantiated . A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of this report was provided.