Complaint Investigation Report

S1-S4 stated the G-tube sometimes leaks a small of the supplements or liquid when Client #1 walks around restlessly after taking the supplement through the G-tube. Per LPA's review of Client #1’s medication administration records (MAR) and interview with four staff (S1-S4), an adhesive cream is applied to the G-tube three times a day and as needed after cleaning the G-tube. The staff (S1-S4) stated G-tube water can only be replaced by the facility nurse, Client #1’s doctor or the father. S2-S4 stated they are trained to assist Client #1 with the G-tube. During the visit, LPA observed the G-tube is in good condition. Based on observations, record reviews and interviews, there is no sufficient evidence to corroborate the above allegation.

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 deemed unsubstantiated.

Unrelated deficiencies cited in a separate case management.

An exit interview was conducted and a copy of this report was provided to Administrator Norma Hamud.