Complaint Investigation Report

Review of facility records did not reveal entries by S1 on behalf of therapy sessions, nor did it reveal that S1 was assigned as the primary therapist for the clients present. Interviews with staff and clients were consistent in that the interviews did not reveal that S1 has ran a therapy session. The interviews did reveal that S1 has been present during group therapy sessions but as a second to another primary therapist who runs the sessions.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that there was an unqualified staff member working at the facility. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Operations Manager Elizabeth Powell, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided via electronic mail. An electronic read receipt confirmation was requested to be sent by the Operations Manager Powell upon receipt of the documents.