Complaint Investigation Report

Allegation #2 - Facility does not have sufficient staff to meet residents' needs.

Upon arrival, designee Maria told LPA’s that she is currently the only staff providing care and supervision to all six (6) residents in care. She stated that another staff member would be back later today, as staff was at the hospital. LPAs were able to obtain staff’s phone number and staff member told LPA’s that they resigned and will no longer be coming back to the facility. Based on LPA’s ob servation and an interview conducted, this allegation is substantiated.

Allegation #3 - Resident's records are not complete and/or missing.

Allegation #4 - Resident's records are not adequately stored.

At 9:45 a.m., LPAs began touring the facility. Upon touring the second floor of the home, residents’ records were observed to be stacked in a small bookshelf in a staff bedroom along with other personal belongings. LPAs observed five (5) resident records, four (4) of which pertained to residents who currently reside at the facility. LPAs asked the designee Maria for the records of the two (2) additional residents. Maria was unable to provide the records and stated the Administrator Farah has the knowledge of the whereabouts of the two (2) resident records. Based on LPAs observation and interview, these two allegations are substantiated.

Allegation #5 - Medications are not locked at the facility .

Upon touring the kitchen, LPAs observed two (2) medication storage bins accessible to residents in one of the kitchen cabinets. LPAs instructed the designee Maria to immediately lock the medications in the designated storage cabinet. Based on LPAs observation, this allegation is substantiated.