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13 | Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of this investigation, witnesses were interviewed; records and documents were received and reviewed; and four site visits were made to the facility. The following determinations have been made: Anonymous Complainant alleges lack of staff supervision has resulted in client fights, client access to knives, and clients left unsupervised; Complainant has not provided contact information and has not provided details which might identify possible dates and circumstances of lack of supervision; Unannounced site visits, as well as staff statements, indicates knives and sharps are kept inaccessible to clients; Although it has been established through interviews and document reviews that staffing levels, particularly on week-ends, has often been less than optimal, it was not established that facility violated it's Program Plan staffing plan or did not comply with Title Twenty-Two staffing requirements; Documented client aggression on 1/21/2024, indicates 3 staff present. Although the allegations may be true, based on statements, documents, site visits, there is not a preponderance of evidence to prove or, disprove, allegations. Therefore, the complaint is UNSUBSTANTIATED. Report left. |