Complaint Investigation Report

Client left in facility unsupervised. – SUBSTANTIATED

It was reported that staff took two residents on an outing leaving Client 1 (C1) alone with Staff 1 (S1). When staff returned after 45 minutes, S1’s car was parked in a different spot from when they left. C1 told staff that S1 had left them alone in the facility for quite a while.

Client 1 stated S1 left them alone in the house for 30 – 45 minutes. Client could not recall whether S1 left the facility grounds or was out in their vehicle.

During staff interviews it was learned that staff went on an outing and when they returned S1’s car had been moved to another location on the facility property. Client informed staff that S1 had left the facility, client looked for S1’s car and it was gone.

Administrator stated C1 was unsupervised while S1 went out to their car to grab something and was out of the facility for about ten minutes, S1 never left the facility.

It was determined that S1 did leave C1 in the facility alone and unsupervised. This allegation is substantiated. A civil penalty has been assessed in the amount of $500.00 on 04/24/2025 on the attached LIC421.

Staff member verbally abuses clients in care. - SUBSTANTIATED

It was reported that Staff 1 (S1) verbally abuses clients.

Client interview revealed that S1 called them a crybaby and told them to stop throwing a temper tantrum. C1 stated that they have witnessed S1 being verbally abusive to Client 2 (C2) at Gilmore Ranch and Client 3 (C3) who lives at the Lucknow facility.

During staff interviews it was learned that staff have witnessed S1 call C2 An expletive several times. Staff witnessed S1 tell C2 to get the eff out of my kitchen, C2 was in the way, and they can’t stand C2’s r**d a**. Staff stated S1 called C3 an expletive and threatened to shove C3’s phone up their a**. Staff stated they have witnessed S1 threaten Client 4 (C4) who lives at the NVS Rawson home and told C4 he was going to punch them in the effing face and called C4 a hillbilly back wood MFer.

It was determined that S1 has a habit of being verbally abusive, vulgar, and threatening toward clients who live in multiple homes that are managed by North Valley Services. This allegation is substantiated.