Complaint Investigation Report

Interview was conducted with Staff Robert Diaz at 1:00 PM.

Interviews were conducted with Staff S 1 and Client's C1 and Client C 2 from !:15 PM to 2:15 PM.

In regards to the allegation Facility staff did not adequately supervise resident, based on interviews conducted and information gathered Client C 1 stated when she ran out staff will be right behind her to get her to go back. Also said that staff is good helping us out.

Client C 2 stated with behaviors staff will watch to make sure it doesn't get bad. They make sure the house is run right. Stated Client C 1 has behaviors and staff handle it well. Said she did run out and staff did a good job trying to get her back.

Staff stated that she is not supervised is not correct. She will close the gate, but she runs across the street, but staff follow right by her. She will attack cars. They have to back up because she gets physical and spits at staff. They are always there and not far behind. Staff redirect her and ask her what she is upset about.

Interview with Regional Center Representative on 02/20/2024 at 9:20 AM who stated that Client C1 does not require a 1:1 and facility is operating within required ratio and it should also be noted that the gate cannot be locked per Title 22

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

In regards to the allegation Facility staff did not ensure that resident's medications are being appropriately managed., based on interviews conducted and information gathered Client C 1 stated that hey give her meds every day and they have never missed.

Client C 2 stated that they give meds every day and they have never missed.

Staff stated that medication has been administered per physician's orders for all client's and medication is verified within 1 hour of being administered on each shift in addition to MAR Log initialed and also document on back of MAR reasons if medication is missed.

At today's visit medication for Client C1 was administered per physician's orders and MAR Log initialed for today. MAR Log was also completed for 04/01/2023 to 04/30/2023 with any doses missed documented with the reason. Medication Verification Log was also completed for 04/01/2023 to 04/30/2023.

Based on the fact that the facility has sought assistance from C1's responsible parties and notified them of incidents, there is no evidence to support the allegation as facility has made reasonable efforts to seek assistance.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.