complaint·October 10, 2023

Regarding the allegation: Resident belongings are not being safeguarded. It’s being alleged that staff wanted clients to leave their doors open and a client (C1) stated their personal belongings were missing. C1 was interviewed and stated they left the facility, observed Administrator locked their door when they left, returned, and observed items were missing. LPA interviewed the Administrator and three staff members who stated there were no clients who reported personal items missing from their room. Staff also stated some clients do not lock their rooms when leaving. Clients are encouraged by staff to always lock their room door. LPA interviewed thirteen clients who stated staff always encourage clients to lock their room door when leaving. The thirteen clients stated they did not have any personal items missing because they lock their own rooms. Facility confirmed residents are responsible for their personal belongings. Regarding the allegation: Staff withholding residents personal and incidental funds (P&I) . It’s being alleged that a client did not receive P&I for the last three months. During LPA’s 9/10/2021 visit, LPA spoke to C1 who stated P&I was up to date. LPA interviewed thirteen clients who stated there have not been any issues regarding receipt of P&I. LPA interviewed five staff members who stated clients receive P&I and there have not been any reports from clients stating there are issues with their P&I. Staff (S5) stated they give P&I to clients twice a month. LPA Spaeth received copies of the P&I ledgers on 10/06/2023. LPA observed the P&I ledger which indicates each client received P&I twice a month, the clients signed the report indicating they received the money and the P&I balance is up to date and accurate. Regarding the allegation: Staff not providing a safe environment for a resident . It’s being alleged a client has been bullying other residents and been bullying C1. LPA interviewed C1 who stated other client did not hit C1 and stated C1 and the other client worked out their differences. LPA interviewed thirteen clients who stated another client has not bullied them. LPA interviewed five staff members who stated clients have not reported abuse by another resident. Based on LPA’s observation, interviews conducted, the preponderance of evidence standard has not been met. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of the report was given.