Complaint Investigation Report

Allegation: Staff not trained – unsubstantiated

The Department has investigated this allegation and per interviews and record review, found that staff received in-service training for various topics in both reviewed years 2021 and 2022 on file. The in-service training records indicated training topic, date, and staff’s signatures. The training topics were related to infection control, medication, food, safety, P&I and expenses, sanitation, grocery shopping, behavior management, activities, and first aid.

Allegation: Staff use resident to care for other resident – unsubstantiated

The Department has investigated this allegation and per interviews and record review, found that staff denied using client to care for other client. Client R1 stated that R1 liked to ask another client R6 to help because R1 didn’t like other staff. R6 confirmed that R1 always called R6 for help. R6 stated that R6 has had refused to help R1 however R1 continued to ask R6 for help. No other witness and supporting documents of the alleged violation were found.

Allegation: Facility van is dirty – unsubstantiated

The Department has investigated this allegation and per interviews and observation, found that the sanitary level of the van was acceptable. Inside the van, there were a few of un-removable stains on the seats, a little food crumps and leaves on the carpet, and no extra stuff was inside the vehicle. A thin layer of dust outside the vehicle was observed. Staff and client stated that the van got dirty easily as it has been used by staff and clients multiple times daily. Client R6 stated that staff vacuumed and washed it weekly and R6 has had helped washing it with the administrator on weekend. In the multiple visits, only one van was observed, no other vehicle using for clients was identified.

Allegation: Staff require resident to remain in their room – unsubstantiated

The Department has investigated this allegation and per interviews, found that client R1 didn’t confirm staff required clients to remain in their rooms. Staff and clients R4 and R6 stated that clients were allowed to stay outside of their room but preferred staying in their room most of the time. R6 remembered that he has had hanged out with other clients in the living room after dinner.