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32 | The Department was also unable to conduct an interview with S1, due to S1 ending her employment with the facility on March 28, 2025. The Department conducted four staff interviews. Four out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and reported that they have not been in any altercations with staff.
Regarding the allegation, staff did not ensure client attended mental health appointments, the following has been concluded: It was alleged that staff did not ensure C1 attended mental health appointments. The Department was unable to conduct an interview with C1, due to C1 moving out of the facility on April 9, 2025. The Department conducted four staff interviews. Four out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation.
Regarding the allegation, staff did not ensure client was provided a clean mattress, the following has been concluded: It was alleged that staff did not ensure C1 was provided a clean mattress. The Department was unable to conduct an interview with C1, due to C1 moving out of the facility on April 9, 2025. The Department conducted four staff interviews. Four out of the four staff interviewed denied the allegation. The Department attempted to conduct six clients interviews. Three out of the six clients declined to be interviewed. The remaining three clients denied the allegation and stated that they were provided a clean mattress upon their admission to the facility. The Department also inspected the mattress for each client at the facility. The Department observed each mattress to be clean, free of any odors, and in good repair.
Based on the information gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the three allegations are deemed Unsubstantiated. An exit interview was conducted with Clinical Director Eric Schlothan and Program Director Axel Vargas. A copy of the report was provided at time of visit. |