Complaint Investigation Report

Allegation: Staff did not seek medical attention to resident

During investigation, LPA conducted interviews with staff (ADM, S1), ADP Director (AD) and reviewed client's (C1) documents. ADM stated that on 10/09/25 at around 1:10PM, Adult Day Program reported that C1 sustained injuries on her lip/right side of her face when she accidentally tripped on a manhole and fell face down on the side walk on her way to the transport vehicle. C1 suffered lacerations on her upper lip and right cheek. ADP staff immediately treated C1 with first aid and sent her to the hospital for evaluation and treatment. C1 received stitches on her lip and was discharged the same day with facility staff assisting her back.to the facility. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not seek medical attention to resident is unsubstantiated.

Allegation: Administrator does not ensure facility has a substitute administrator when not present in home

During investigation, LPA conducted interviews with staff (ADM, S1) and reviewed client's (C1) documents. ADM confirmed with LPA that he works at the facility Monday to Friday from 9AM until 2PM. S1 stated that she is the designated manager on duty whenever ADM is not available at the facility. LPA reviewed the designation of facility responsibility (LIC 308) dated 10/14/24 which showed S1 as the authorized manager on duty. LPA observed ADM was present during unannounced visits dated 05/02/24 and 06/20/25. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that administrator does not ensure facility has a substitute administrator when not present in home is unsubstantiated.

Exit interview conducted and a copy of this report provided.