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32 | Staff explained that some clients mentioned by LPA are known to be combative, including hitting, pulling hair, and aggressive behavior toward staff and other clients. All staff denied restraining any client or witnessing any restraint. They also denied exceeding client capacity or being asked by management to remove clients to meet ratio requirements. The Administrator confirmed that the facility operates as a non-restraint program and stated that if a client poses a danger to themselves or others, staff move other clients to a safe location and contact the client’s home and emergency services. Any violations are reported to the appropriate agencies, and staff are disciplined up to and including termination.
During multiple visits, LPA did not observe any trip hazards near desks or in the front office area. Staff stated that the facility is reset daily to ensure safety and that any hazards observed are immediately removed. Hazardous items were locked or stored away, and the bathroom was locked and could only be opened by staff for use by anyone, including staff and visitors. The Administrator stated that hazardous materials are kept in a locked closet and staff are reminded through posted notices to return items after use. LPA confirmed that the facility regularly reports incidents to Community Care Licensing (CCL) and provides incident reports. The Administrator acknowledged that a previous reporting issue was due to a manager failing to submit a report as instructed, but corrective action was taken. LPA reviewed several random client files and found them complete and current. The Administrator stated that client records meet all audit requirements and that staff follow clients’ needs and service plans.
An outside source stated that their investigation was inconclusive and noted that the facility had documentation regarding issues with a former employee. They believed the allegations might be retaliatory. The Administrator also expressed concern that the allegations were intended to harm the facility’s reputation and emphasized that families often provide positive feedback about the program.
Based on interviews, observations, and record reviews, there is not enough evidence to prove the allegations occurred. Therefore, all allegations are unsubstantiated. Although the allegations may have happened or may be valid, there is not enough evidence to support them. No deficiencies were cited during this investigation. The report was discussed and an exit interview was conducted with Laura Casas Griggs. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) was provided to Laura Casas Griggs via electronic mail.
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