Complaint Investigation Report

It was alleged that staff did not provide a safe and comfortable environment for residents. Interviews revealed the staff provide a safe environment for the clients by supervising them, keeping them safe, having activities for them to do and by being alert and there. Interviews revealed the temperature has been comfortable within the range of regulations each time LPA has made a visit. There is food and the clients are comfortable at the facility with staff. Interviews revealed when a client is having a behavior, one staff will stay with that client while the other staff tends to the other clients to keep them safe and out of harms way. Interviews revealed this is a 4I facility and mostly all clients have behaviors and the staff are equipped to handle clients with behaviors. Interviews with outside sources revealed they have not seen any issues where the clients weren't provided a safe and comfortable environment

It was alleged that staff retaliated against resident's responsible party for filing a complaint. Interviews revealed that the Reporting Party (RP) was never known by staff but they could only assume who the RP was. Interviews revealed that anybody can make a complaint and that is their right to do so. Interviews revealed that staff continued to care for the clients. There were no other complaints from outside sources regarding staff retaliated against resident's responsible party for filing a complaint.

The above-mentioned allegations of facility does not have sufficient staffing to meet the residents' needs, facility is operating out of ratio, staff did not provide a safe and comfortable environment for residents and staff retaliated against resident's responsible party for filing a complaint are unsubstantiated. 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 with Akram Askar, Staff and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

** This is an amended report from 4/23/2025**