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13 | On 02/12/2026, Licensing Program Analyst (LPA) Regina Cloyd conducted a subsequent visit to gather information regarding the above allegation. LPA met with Staff and spoke with Administrator over the phone and the purpose of the visit was explained.
Investigation consisted of the following: On 11/25/2025, LPA conducted a facility tour and interviewed the Administrator, Staff #2 and Staff #3. On 11/26/25, LPA received for copies of Clients 1 – 4’s medical assessment, IPP/ISP, and Behavioralist Report. On 12/15/25, LPA interviewed Witness #1 - #2, #4 and received an email response from Witness #3 and updated Behavioralist Reports for C1 – C4. On 12/23/25, LPA received observation records. On 01/06/25, LPA interviewed Staff #4. On 01/09/2026, LPA interviewed Staff #6 and observed the clients. On 02/12/26, LPA interviewed S1 and S6 and toured the facility.
Investigation revealed the following:
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