Complaint Investigation Report

ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations.

On the 12/11/24 visit, LPA Mosley conducted a physical plant tour at 9:45 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. Interviewed three (3) out of five (5) residents from 10:55 A.M. – 12:00 P.M., interviewed two (2) staff including the Administrator from 12:30 P.M. – 2:00 P.M., Reviewed and collected relevant documents pertaining to the investigation and conducted a medication audit on the current residents.

Based on the information received and due to time constraints, further investigation is needed to make a finding for the above allegations. An exit interview was conducted.

On today's visit, training files, resident files were requested for review and was not provided by the Administrator. No interviews were also conducted as Resident #1 is not known to the current residents in care.

Regarding allegation #1 Staff does not give resident medication, Facility records were previously requested for Resident #1 on previous facility visits and was requested again today, from staff and from the current Administrator and the file could not be produced each time. Per interviews conducted by LPA Mosley on 12/11/24 she was informed that Resident #1 lived at the facility for 1 day as the reason for why there were no documents for the resident. However, per review of Department records for a visit that was conducted on 2/29/24, Resident #1 was admitted on 6/9/23, therefore there is no reason for the facility not to have a facility file for the resident. Attempts were made to interview Resident #1 during the initial complaint visit but the resident was not on site. Resident #1 also could not be interviewed on any subsequent visits to the facility as the resident no longer lived at the home and the relocation site is unknown. Based on the facility’s failure to maintain complete records for the residents and the unknown location of Resident #1, LPA Yee could not conclusively determine if the facility Staff does not give resident medication and has determined the finding to be unsubstantiated at this time. A new complaint will be written up once more information can be obtained.