Complaint Investigation Report

The investigation revealed the following: In regards to the allegation that "Staff are contaminating food for clients in care," it is alleged that C1 was served a eggs and bagels that appeared to be contaminated with a clear translucent substance on them, and also found bits of bug legs in their food. During interviews with the clients, fourteen (14) out of fifteen (15) interviewed did not corroborate the allegation. One of the clients interviewed stated that they are satisfied with the food and that they have never witnessed any unusual substances on their meals. Another client interviewed stated the food is of good quality and there has never been any contaminants in their food. During interviews with the staff, none of them corroborated the allegation. LPA interviewed S3 the lead kitchen supervisor and stated that the kitchen staff always wear hairnet and gloves when preparing the meals to prevent contamination, and that no clients have brought to their attention that the food is contaminated. Another staff interviewed stated that there are no contaminants and no other problems with the food served by the facility .LPA toured the kitchen during the meal preparation for lunch on 1/21/2025 and did not observe any contaminants in the food during the preparation of the food, and staff were wearing hairnets and gloves when handling the food. Additionally S4 provided LPA a photograph of the translucent material on the bagel and eggs, and found that the eggs had melted cheese on them while the bagels had droplets of liquid on them that appeared to be olive oil.

In regards to the allegation that " Facility staff did not provide adequate supervision," it is alleged that C2 had gasoline poured on them after S2 broke into their room three (3) consecutive days in a row. During interviews with the clients, fourteen (14) out of fifteen (15) did not corroborate the allegation. One clients interviewed stated that they have never witnessed staff harming or physically abusing another client in the facility. Another client interviewed stated that they feel the staff adequately supervise the clients of the facility and have never witnessed any staff abusing the clients. During interviews with staff, none of them corroborated the allegation. During interviews with S2, they stated that they had never broken into C2's room or poured gasoline on them, and did not know why the allegation was made. Another staff interviewed stated C2 has never had gasoline poured on them, and was currently hospitalized for reasons separate than physical harm.

In regards to the allegation that "Facility Staff did not dispense medication as prescribed," it is alleged that C1 was not obtaining one of their medications as they should from the facility staff. During interviews with the clients, fourteen (14) out of fifteen (15) did not corroborate the allegation. One of the clients interviewed stated that their were no issues getting their medications as prescribed. Another client interviewed stated that everything was okay when obtaining their medications. During interviews with the staff, none of them corroborated the allegation. One staff interviewed stated that C1 does not have a prescription for the medication they are requesting, and C1 refuses to switch their primary doctor to the facility's doctor so they have not been able to obtain the physician's order for the medication.