Complaint Investigation Report

LPA reviewed the totals in the P & I accounts at the facility and found they are less than $200 as clients have set up savings accounts where their monthly deposits go, and then an agreed upon amount (decided by client) is put in their P & I accounts to help clients budget and save their money. The savings accounts are kept separately and available for clients to review. The reporting party also stated that on 7/11/2025 staff gave client C1 a birthday party with their P&I money and staff did not get C1’s consent to use their money. LPA reviewed the complete accounts of clients in care and could find no evidence of staff mishandling client accounts. Facility provided copies of all receipts for expenses for C1’s party, which were covered by the facility, not C1. LPA also interviewed C1 who stated that their money was not used for any party expenses. Based on review of client accounts, interviews with clients and Administrator the LPA found no substantiating evidence that the staff are abusing clients financially. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation that Staff are financially abusing clients is UNSUBSTANTIATED.

The complaint alleges that Staff are operating the facility out of ratio. LPA observed that there are 4 clients and at the time of visit there appeared to be adequate staffing. During visits on 12/4/2025 and 12/09/2025 there were 2 clients at the facility and 2 at day programs and 6 staff present at the facility. Administrator was questioned about staffing levels and the requirements of the Individualized Program Plans (IPP Plans). Based on IPPs, client (C2) requires a 2 to 1 ratio as needed (during outings/heightened behaviors/requiring more care and supervision), not when the client is at the facility at baseline. LPA observed staff was at appropriate levels during visits on 8/12/2025, 12/04/2025 and 12/09/2025. LPA also reviewed staff schedules for the months of June 2025, July 2025, and, August 2025 and found staffing to be adequate. The facility was clean, clients’ rooms were clean and well-organized. C1 and C2, who were both at the facility and appeared to be well supervised. Based on IPP staffing requirements, staff schedules, interviews and LPA observations the allegation that Staff are operating the facility out of ratio is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED.