Complaint Investigation Report

Staff did not comply with resident’s individual program plan:

In regards to the allegation, it was reported from another agency that on or around 02/29/24, a follow up visit was made on a complaint report. It was alleged that on or around 01/17/24, R1 did not have the three required direct staff as necessary to ensure R1's health and safety stated on their Individual Program Plan (IPP) dated 09/12/23. According to this report, R1 has had three staff assigned to them since their admission to the facility on 06/23/23. As a result, the facility was given a Corrective Action Plan (CAP). Based on the CAP and information provided by the outside agency, the allegation is Substantiated .

Facility is in disrepair/Facility has an infestation of cockroaches:

In regards to the allegation, it was reported from another agency that on or around 02/29/24, an inspection was made to facility. During this inspection, it was observed by the agency that the toilet seat in the main bathroom was worn and needed replacement, and the umbrella, for the outdoor patio furniture was broken. Furthermore, during an inspection of the main bathroom, the agency observed a small cockroach crawling up the wall. As a result, the facility was given a Corrective Action Plan (CAP) follow up letter. Based on the CAP letter, and information provided by the outside agency, the allegation is Substantiated .

Facility had expired and moldy food items:

In regards to the allegation, it was reported from another agency that on or around 02/29/24, an inspection was made to facility. During this inspection, it was observed by the agency that there was expired lunch meat and a jar of peanut butter stored in the main refrigerator. There was also a small jar of moldy salsa and avocado dip. As a result, the facility was given a Corrective Action Plan (CAP) follow up letter. Based on the CAP letter and information provided by the outside agency, the allegation is Substantiated .

Facility did not ensure to maintain personnel records:

In regards to the allegation, it was reported from another agency that on or around 02/29/24, an inspection was made to facility. At the time of this inspection, it was observed by the agency that Staff 1 (S1) did not have a complete health screening (LIC 503) and Crisis Prevention and Intervention Certification (CPI). As a result, the facility was given a Corrective Action Plan (CAP) follow up letter. Based on the CAP letter and information provided by the outside agency, the allegation is Substantiated .