Complaint Investigation Report

The investigation revealed the following:

Allegation: "Staff are not allowing a client to leave client's room." It is alleged that (2) clients need 1:1 staff supervision, but clients are being kept in their room and not allowed to leave the room. Staff interviewed denied the allegation. S1-S2 stated that C1 has an isolation behavior, tends to separate themselves from others and prefers to be in the room. Staff stated that none of the clients are confined or prohibited from leaving their rooms. Interviews conducted with the clients did not corroborate the allegation. C3-C4 stated that they are free to go around the home and none of the staff have prevented them from leaving their rooms. LPAs observed C3-C4 walking around the home, eating in the dining area and performing household chores. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: "Facility is not providing a sufficient amount of gloves to staff." It is alleged that there are not enough gloves purchased, and staff need to wear gloves when administering medication. Staff interviewed denied the allegation. S1 stated that all staff who administer medication use gloves , which are readily available and kept in the medication cabinet. S2 denied the allegation and indicated that the facility has a gloves subscription that is delivered every 2 weeks. LPAs observed adequate supply of disposable gloves stored in the medication cabinet. Interviewed clients cannot provide any information on the glove supply, other than confirming that they have seen staff wearing gloves when giving them medications. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: " Facility has an insufficient amount of cleaning supplies." It is alleged that the facility is not purchasing enough cleaning supplies and staff have to purchase their own supplies and not get reimbursed. Interviewed staff denied the allegation. S1 stated that they conduct a weekly walk-through to assess the supplies needed, and the Management uses Zelle to give them money to buy them. S2 stated that they provide cleaning supplies regularly. Clients interviewed stated that they have seen enough cleaning supplies. During the tour of the facility, LPAs observed sufficient cleaning supplies kept in a cabinet under the kitchen sink and in the detached garage. Therefore, there was insufficient evidence to corroborate with this allegation.

Based on statements and interviews conducted with staff, clients, review of client and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview held and a copy of this report was provided to Crystal Rose, Administrator.