Complaint Investigation Report

On today's visit, LPA Yee conducted an interview with the Assistant Administrator at 11:18am to clarify information provided on the initial visit conducted on 4/25/24. Per information received from interviews conducted regarding allegation #1 - facility staff provided false statements to licensing - the complainant states that staff gave LPA Yee the incorrect time for when the family member contacted the facility to notify them of the death of Resident #1 as a result of a fatal automobile accident that occurred on the street about 150 feet from the facility on 3/10/23. LPA Yee was notified of Resident #1's death by Martha Bacon, Administrator on 3/13/23 and a case management visit was conducted on 3/14/23 to investigate the death of Resident #1. The main purpose of the case management visit was to determine if the facility contributed in any way to the death of Resident #1 by their failure to provide the appropriate care and supervision. A report was generated to document the visit and the information obtained from interviews conducted. Per information obtained from the interviews conducted on 3/14/23, the report indicated that "The identity of the accident victim was not revealed to the facility staff until 3/11/23, around 4pm by a family member." Per interviews conducted with staff, the timeline of when the facility found out the identity of the accident victim or when the call from family was received was approximated based on staff's best recollection of the activities that were going on at the time staff received the call from family member. During the interviews conducted, LPA Yee was aware that Staff provided information as they remembered it and it was not intended to deceive the Department. Staff #1 did not state with absolute certainty that the time was 4pm, just that it was around dinner time and that they were setting up. Staff did not anticipate that they had to remember the exact time of the call. Time was noted to establish that the call was received in the afternoon. Staff also recollects during the interview that the caller also enquired about a rent refund and that they were referred to the Administrator. The family member denies having requested a refund or discussing the matter. Each party remembers the telephone conversation differently and told to LPA Yee as they recall the conversation. Per interview with the Assistant Administrator, any refunds of rent would only be discussed with Resident #1's responsible person or Conservator. Based on the information received from interviews conducted, there is insufficient evidence to support the allegation that facility staff provided false statements to Licensing. Therefore, the allegation is unsubstantiated at this time.

Per interviews conducted and review of facility files regarding allegation - staff did not follow Admission Agreement - it is alleged that the facility did not adhere to it's own rule under (4) Monitoring and Supervision c. Leaving the Facility: As you leave the facility, there is a sign-out book. For safety reasons, residents must sign out and back in upon return at the front lobby, page 19 of the Admissions Agreement.