Complaint Investigation Report

Allegation #1: Staff left residents in soiled diapers for a long time.

The investigation revealed the following: Regarding the allegation Staff leave residents soiled for an extended period, it is alleged that residents go hours without being changed and remain in soiled and dirty diapers. On 12/03/2024, between 10:30 am -12:30 pm, LPA Richard interviewed three (3) residents #2-4 (R2-R4) 3 out of 3 denied the allegation and stated that they are changed every one to two hours daily. LPA interviewed six staff #1-6 (S1-S6) 6 out of 6 denied the allegation and stated that all the residents are being changed every 2 hours sometimes sooner if tan accident happened before or after the time to change passed. LPA interviewed administrator#1 (A1) who stated that the residents are checked every 1 - 2 hours. Record review of changing schedule (dated 11/01/24 to 11/30/24), has a schedule of all the name of residents who wears a diaper on when to be changed. LPA Richard was not able to interview R1.

Regarding the allegation: Staff leave residents soiled for an extended period, based on interviews, the Department found no evidence to support the allegation mentioned above. 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. As a result, the allegation is Unsubstantiated.