complaint·June 8, 2021

Based on interviews and records reviewed, allegation #1, that “Facility failed to provide a safe living environment,” has been substantiated. Facility incident reports indicate that Resident 1 (R1) and Resident 2 (R2) had a repeated history of violence while living at the facility, which ultimately resulted in the incident on 9/14/19 where Resident 3 (R3) was stabbed three times. R1 was then allowed to return to the facility after being arrested and remained there from 09/17/19 to 10/26/19 without being given an eviction notice and without being re-appraised until R1 was re-arrested. During the time when R1 returned to the facility, police responded to another verbal altercation between R1 and R3. Report reviewed and delivered. Exit interview conducted, deficiency on 9099D page. A signed hard copy will be returned to LPA via email and kept in the facility's file. Allegation #1, that " Lack of supervision lead to client injury" has been unsubstantiated based on the client and staff interviews conducted by the Investigations Branch. All staff/ client interviews conducted indicated that the client injury could not have been prevented in the moment with additional supervision. Allegation #2, that " Facility failed to report an incident," has been unsubstantiated based on a review of the facility's incident report folder. LPA confirmed that this incident was reported to the Regional Office on 9/14/19. Allegation #3, that " Facility is falsifying records" has been unsubstantiated based on the records reviewed and the interviews conducted. 4/5 staff interviewed denied that any electronic footage had been deleted and that they were even able to do this, LPA was unable to review the footage of the time period in question, and LPA did not observe any means of deleting segments of footage from the facility's electronic surveillance system. Report reviewed and delivered. Exit interview conducted, no deficiencies cited. A signed hard copy of this report will be obtained via email and kept in the facility's file.