Complaint Investigation Report

Allegation: Staff left resident in soiled bedding

During investigation, LPA conducted interviews with reporting party (RP/DPOA) staff (S1, S2) and reviewed resident (R1) documents. LPA interviewed RP who shared a photo taken while R1 was residing at the facility showing R1 wearing a soiled diaper with dried brown diarrhea on the side her buttocks as she rested on a soiled bed cover. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff left resident in soiled bedding was found to be substantiated.

Allegation: Staff did not ensure resident’s cup was free of mold

During investigation, LPA conducted interviews with reporting party (RP/DPOA) staff (S1, S2) and reviewed resident (R1) records. LPA analyzed two photos of R1's sippy cup which showed the presence of black mold inside the sipping straw and around the inside rim of R1’s stainless steel tumbler. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff did not ensure resident’s cup was free of mold was found to be substantiated.