Complaint Investigation Report

In regards to the allegation "Facility is unkempt." it was alleged that the facility is dirty. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Clients interviewed could not corroborate the allegation. Interviews with staff and clients show that staff will repeatedly clean the facility everyday. Clients interviewed stated that when they let staff know about a mess, the staff will address the issue and clean it. LPA's initial tour of the physical plant did not observe the facility to be unkempt or dirty. LPA observed (3) housekeeping staff on shift cleaning rooms and the common areas during the visit. Based on file review, observations and interviewed conducted; 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 allegation is Unsubstantiated.

In regards to the allegation "Staff does not ensure facility is free from roaches." it was alleged that rooms have roaches and staff do not ensure to keep the facility free from roaches. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Clients interviewed could not corroborate the allegation. LPA toured random client rooms such as rooms #2, #7 , #30 , #32 , #36 ,#204, #215, #217, #224 and #226 and did not observe roaches. Interviews show that the facility has a contract with a pest control company in place for addressing insects such as roaches. LA conducted a file review of the last 3 months of services provided to the facility demonstrating a plan from the facility to address pest issues. Service notes from the pest control company do not state to observe roaches. LPA attempted contact with pest control company who stated they would return LPA's call but did not. Based on file review, observations and interviewed conducted; 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 allegation is Unsubstantiated.

In regards to the allegation "Staff mismanaged medication." it was alleged that staff did not give a client the correct medications. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Clients interviewed could not corroborate the allegation. LPA reviewed (10) clients medications during the initial visit and did not observe notes or errors of wrong medications being dispensed. LPA did not observe incident reports of wrong medications being dispensed to clients in care. Clients interviewed stated staff have not given out the wrong medications to clients. LPA was not provided with proof that staff provided clients in care the wrong medication. Based on file review, observations and interviewed conducted; 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 allegation is Unsubstantiated.