Complaint Investigation Report

LPA observed (2) clients in the facility with their doors open, walking around the facility with the assistance of facility staff. Based on the evidence gathered, there is insufficient evidence to support the allegation, therefore the allegation is unsubstantiated.

Allegation: Staff do not ensure that clients are adequately supervised to prevent overconsumption of food

It was alleged that staff do not ensure that clients are adequately supervised to prevent over-consumption of food. This investigation consisting of interviews with facility staff, clients, and facility observations. On 3/16/2026 LPA Hughes conducted an unannounced visit to the facility and interviewed 6 out of 7 facility staff, who stated that they have not observed or allowed clients to over consume food in the facility, stating that all clients are placed on a 1:1 or 2:1 ratio with facility staff. Interview with 1 out of 3 clients stated that facility staff cook for them, and that they are being served an adequate amount of food. LPA toured the facility, and observed clients being supervised by facility staff on a 1:1 ratio. On 04/03/2026 LPA Hughes conducted a follow-up visit to the facility and observed client (C2) being assisted by a facility staff, LPA observed facility staff assisting the client with preparing a snack. Based on the evidence gathered, there is insufficient evidence to support the allegation, therefore the allegation is unsubstantiated.

Allegation: Staff provoke clients to misbehave

It was alleged that staff provoke clients to misbehave. This investigation consisted of interviews with facility staff, clients, and outside parties. On 3/16/2026 LPA Hughes conducted an unannounced visit to the facility and interviewed 6 out of 7 facility staff who stated that that they have not observed any facility staff provoke residents to misbehave. Additionally, interview with facility staff (S7) stated that they have never provoked clients to misbehave, stating that they seek guidance from the client behaviorist regarding redirection tactics. An interview conducted with the Alta Service Coordinator revealed no reported concerns regarding staff threatening clients with physical harm or provoking clients to misbehave. Further stating that no concerning behaviors regarding clients were observed during their facility visits. Based on the evidence gathered, there is insufficient evidence to support the allegation, therefore the allegation is unsubstantiated.