complaint·March 24, 2025

Witness 1 interviewed stated that their family member has substance problem, are trying to seek help through rehabilitation however the client is reluctant to go to the rehab program after claiming they need help. Witness 2 stated, that the facility did allow client to return after discharge from hospital on 03/17 and 03/18. Five (5) out of six (6) clients interviewed could not corroborate this allegation. Clients interviewed stated they saw the police and paramedics in the facility however do not know why they were there. One client stated they saw the client in their room on the 03/17 and 03/18 being unruly. Five (5) out of five (5) staff interviewed denied this allegation. According to Administrator Kim Commodore the client has had previous issues with violating house rules and admissions agreement. On 03/16, client was found with drugs and drug parahelia and was sent to the hospital by police and paramedics after being becoming aggressive and confrontational, client was released from the hospital and was allowed back to the facility. On 03/17/25, client was again aggressive and combative with staff and other facility clients. Clients were complaining of the unruly noise and breaking of furniture, staff call PET team to take client on 51/50 hold. PET team and staff found client unresponsive in their room and called 911. Police and paramedics came to the facility and announced client had drug overdose. Client was transported to the Hospital and police reports were made on 03/16 -PA 2025-20784 and 03/17-PA 2025-20814 respectively, family was notified of each incident. Kim Commodore stated, after speaking with clients’ family on 03/18/25 about the house rules and agreements violated and this being the clients first incident, the client would be able return to the facility. On Administrator Kim provided the client and their family with rehab facility options. On 03/21/25 Administrator Kim last spoke to client, he was going to phone company to get new phone, client was accompanied by staff to the phone company. On 03/22/25, while client was allegedly supposed to be in rehab. Staff discovered client had been at Arbor Vista facility destroying the room and ran away, staff called police and family was notified. Currently, client is at the hospital having been found overdosed by family member on 03/23/25 who are trying to admit client to the rehab facility. Based on interviews conducted and documents reviewed. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Copy of this report was provided to Administrator Kim Commodore.