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32 | Continued from LIC9099.
Allegation: Staff do not ensure the facility is in good repair
Finding: Substantiated
During Investigation, On 1/8/2026 at 1:00 PM, LPA toured the facility inside and out, including bedrooms, bathroom, living room, kitchen, dining area, garage and outside area. LPA observed carpet that was deteriorating in C1, C2, and C3's bedrooms. LPA observed that the kitchen sink was leaking and the water pressure was low. LPA observed that the lower cabinet in the facility kitchen that held the sharps was broken and could not shut properly. Based on observations and interviews which were conducted, the department has substantiated the allegation that staff do not ensure the facility is in good repair. The preponderance of evidence standard has been met. Therefore, the above allegation was found to be substantiated.
Allegation: Staff do not provide adequate supervision to clients while in care
Finding: Substantiated
During investigation, LPA interviewed the RP who stated that C1 has eloped a few times at night while under care regularly (unknown exact dates) and staff had to call the police. Interviews with staff revealed that C1 elopes to a nearby store and returns on his own. C1's IPP dated 2/28/2025 indicated that C1 "is only available to participate in the community with staff support and supervision at all times." Based on interviews which were conducted and record review(s), the department has substantiated the allegation that Staff do not provide adequate supervision to clients while in care. The preponderance of evidence standard has been met. Therefore, the above allegation was found to be substantiated.
Allegation: Staff left hazardous items in reach of residents
Finding: Substantiated
During investigation, LPA interviewed the RP who stated that hazardous items are in reach of residents. On 12/17/2025, LPA observed that the lower cabinet next to the kitchen sink was unlocked and had sharps such as knives that were accessible to clients.
Continue to LIC9099-C.
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