Complaint Investigation Report

The allegation of “Staff did not safeguard resident's personal belongings.” alleges that facility staff signed for the delivery of a hospital bed and wheelchair for Resident #1 (R1) which R1 never received and the items are now missing. On 01/07/2025 LPA received an email from Witness #1 (W1). The email contained a photocopy of two (2) delivery tickets dated 09/26/2023 and 10/05/2023 from MedLife MediCal Supply Inc. The delivery ticket dated 09/26/2023 specified that the items delivered were: a standard wheelchair and additional accessories for the wheelchair. The delivery ticket dated 10/05/2023 specified that the items delivered were: a hospital bed and additional accessories for the hospital bed. LPA Byrne reviewed the bottom of the delivery ticket. This section stated, “I confirm that Medicare or my insurance has not purchased or rented similar items to the ones being delivered unto me today…” LPA confirmed that the name at the bottom of the delivery ticket was Keyna Kumbula (Keyna Nkumbula) (S1) and the signature matched that of previous reports signed by S1. The reason given for why the patient (R1) could not sign the delivery ticket was, “Patient Unable”. During today's interview with S1 LPA Byrne showed them the signature at the bottom of the delivery document. S1 confirmed that the signature matched their own. Based on the information obtained during interviews and record review there is sufficient evidence to support the allegation of Staff did not safeguard resident's personal belongings. Therefore, the allegation is deemed Substantiated at this time.

The facility administrator was unable to come to the facility at the time of the investigation but has designated staff member Keyna Nkumbula to sign this report on their behalf. The report was read to the facility administrator via telephone call.

The following deficiency was cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.