Complaint Investigation Report

Regarding the allegation that staff failed to safeguard R1's personal belongings, S1 stated they were not aware of any incidents involving other residents stealing R1's clothing. S1 reported that R1 sometimes completes her own laundry and that staff also provide assistance with laundry as needed.

Regarding the allegation that staff failed to prevent another client from breaking R1's bedroom door, S1 stated they were not aware of any such incident and confirmed that R1's bedroom door was not broken.

Regarding the allegation that staff failed to ensure R1's bathroom was maintained in good repair, S1 acknowledged that repairs were needed to the bathroom ceiling. S1 stated that maintenance staff had recently left employment and that repairs had been delayed. During the investigation, the LPA was informed that the facility had hired additional maintenance personnel who also perform maintenance services for other facilities under the same management, and repairs were in the process of being addressed.

R1 stated that she does not have any concerns regarding the temperature in her room and reported that the heater works properly when needed. R1 stated she is not cold and has additional blankets available. R1 reported that some of her clothing has gone missing but was unable to identify specific items or state who may have taken them. R1 stated she sometimes washes her own clothing and that staff also assist with laundry. R1 reported that the ceiling in her bathroom was damaged but stated she was aware that a work order had been submitted for repairs. R1 stated she had no knowledge of any bedroom door being broken and confirmed that she does not have a roommate.

During the investigation, the LPA observed that R1's bedroom was clean and maintained at a comfortable temperature. A functioning heat source was available, and extra blankets were present. No broken bedroom door, damaged door hardware, or evidence that another resident had damaged R1's room was observed. The LPA observed damage to the bathroom ceiling; the LPA also confirmed that the facility was in the process of hiring additional maintenance personnel, current maintenance employee provide services for other facilities under the same management to address outstanding repairs.

Although the investigation identified that repairs to the bathroom ceiling were pending, interviews and observations did not provide sufficient evidence to support that staff failed to maintain the bathroom in good repair, failed to prevent another client from breaking R1's bedroom door, failed to maintain a comfortable room temperature, or failed to safeguard R1's personal belongings. The evidence obtained during the investigation was insufficient to either prove or disprove the allegations.

Based on the information obtained through interviews and observations, the allegations are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is insufficient evidence to prove the alleged violations occurred. An exit interview was conducted with the Licensee. A copy of this report and Licensee's Rights (LIC 9058/03/22) was provided via email to the Licensee.