Complaint Investigation Report

Allegation #1: Staff does not provide a client with an appropriate sleeping arrangement.

The complaint alleged that a client #2 (C2) sleeps on an inflatable mattress in the C3 room. On May 30, 2024, the department interviewed the then-Administrator (A1), who denied the allegations. The department also interviewed three staff members (S1, S2, and S3) on the same day. All staff members denied the allegations, stating that all residents sleep in their own rooms and that no inflatable mattresses are provided for any residents. They confirmed that all clients exclusively sleep in their designated rooms.

The department then interviewed four clients (C1, C2, C3, and C4) on May 30, 2024; however, they were unable to respond to the questions due to their health conditions.

On May 13, 2026, the current Administrator (A2) was interviewed and also denied the allegations. A2 mentioned that the clients prefer to sleep in their own rooms but noted that C3 occasionally likes to sleep on an inflatable mattress with C2's permission because they are friends. A2 stated that it has been a long time since C3 last slept in C2's room.

On May 13, 2026, the department again interviewed staff members S4, S5, and S6. All three denied the allegations and stated that they had not observed any client sleeping in another client's room.