Complaint Investigation Report

During the course of this investigation, LPA also interviewed Staff #1 (S-1) through Staff #3 (S-3). LPA left a message for Staff #4 (S-4) for a return call. LPA attempted to interview Client #2 (C-2) and Client #3 (C-3) and was unsuccessful as both were not able to understand interview questions and/or are non-verbal.

Allegation: Client lost severe weight while in care. It was alleged that C-1 had lost weight during his stay at this facility. Staff interviews revealed that C-1's medical professional was informed of C-1's weight loss. Per staff interviews, C-1 consulted with the medical professional on a consistent basis (weight was being monitored by the medical professional). LPA observed medical documentation on file for C-1 regarding C-1’s weight. Interviews and record review do not corroborate this allegation.

Allegation: Staff failed to seek medical attention for client. It was alleged that C-1 had a fungus on hands and feet that was not being treated. Staff interviews revealed that C-1 did not have fungus on their hands nor feet. Interviewed staff indicated C-1 consulted with their physicians (including podiatrist) on a consistent basis. C-1’s medical records were reviewed and there was no indication of C-1 having fungus on their hand nor feet. Interviews and record review do not corroborate this allegation.

Allegation: Staff locked client in his room. It was alleged that C-1 was locked in their room when C-1 had a behavior. Staff interviews revealed that there are no rooms that have locks. Staff interviews revealed that clients are not locked in their room. Staff interviews revealed that when C-1 was upset, staff would ask C-1 to go to their room “to cool off” and did not lock C-1 in their room. LPA toured facility and did not observe any locks on bedroom doors. Interviewed staff indicated that they have not received any concerns/complaints pertaining to this matter. Interviews and tour do not corroborate this allegation.

Allegation: Staff failed to meet client's needs. It was alleged that clients in this home are not attending any outings. It was also alleged that C-1 was wearing a wrong shoe size and C-1 did not have clothes that were appropriate to wear. Staff interviews revealed that clients are taken out for outings consistently. Staff interviews revealed that clients are taken to church functions, local shopping centers, local restaurants, movies, bowling, parties, ect.. Interviewed staff also indicated that C-1 wore appropriate clothing and shoes that fit. Interviewed staff indicated that they have not received any concerns/complaints pertaining to these matters. Interviews do not corroborate this allegation.

Refer to LIC 9099C for the continuation of this report.