Complaint Investigation Report

LPA also requested copies of the following documents: Resident and Staff rosters, Partial file for R#1 & R#2; (ID/Emergency Information, Needs and Services Plan, Physician's Report, Admissions Agreement,) and Menus (February and March 2023.) On 05/10/23, LPA interviewed C#1 – C#11, obtained current Client and Staff roster’s, menus for April and May 2023, and cleaning map (House Keeper’s.)

Based on the LPA's investigation, the investigation revealed the following.

Allegation 1 – Staff do not ensure food served is of good quality and quantity for clients in care. Interviews conducted with S#1 – S#11, communicated that they serve good quality food, and they serve enough. They recently hired a new cook, and she is improving the menu. The client’s like her food. The portions they serve are enough and if client’s do not get full, they are offered seconds servings. Some staff eat at the facility because they like the food and they get good size portions of food. Interviews conducted with C#1 - C#5, C#7 – C#9, C#11, communicated that the food is okay. It could be better. They could be serving food like hamburgers. The food they serve is enough and they can get seconds if they ask for them. They offer good snacks: chips, cookies, juice. LPA toured the kitchen, inspected their food storage, observed the lunch being served, and reviewed their menu’s. The facility has enough food for the facility. The food portions were enough, and their menus had a variety of food choices. The interviews, observations, and record review did not concur with the above allegation.

Allegation 2 - Staff do not ensure bathrooms are kept in sanitary conditions for clients in care. Interviews conducted with S#1 – S#11, communicated that the bathroom are always clean. S#1, S#5, S#6, S#7, S#8, & S#10, the bathrooms sometimes are unclean because of the clients themselves. Some clients have a hard time keeping their bathroom clean all day. They may have accidents during the day. The house keeper’s clean all the bathroom and showers once a day, 7 days a week. If the bathrooms have already been cleaned and the clients request the bathrooms to be cleaned again, the house keeper’s go and clean them again. The staff has no problem cleaning the bathrooms again. Interviews conducted with C#2 - C#11, communicated that they are always clean. The house keeper’s clean their bathrooms once a day. Sometimes they get dirty because some clients don’t know how to keep them clean, but the house keeper’s do a good job keeping the bathrooms clean daily. LPA inspected the bathrooms in the shared rooms #21, #20, & #24, and men and women shared showers. The bathrooms and showers were clean and operational. The interviews and observations did not concur with the above allegation.