Complaint Investigation Report

Record reviews have revealed that the facility has sent their infection control paperwork to CCLD on 04/11/2021, which verifies that the facility is aware of infectious bacteria and diseases and how to control those infections. CCLD observed appropriate hand sanitization devices throughout the facility and in common areas. Based on CCLD observations, interviews conducted and record review, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated .

Allegation #4 : “Staff inappropriately speaks to resident in care.” It has been alleged that staff speak disrespectfully to residents in care. Interviews revealed that three (3) staff (S1-S3) and three (3) out of five (5) residents (R2, R4-R5) have denied that the allegation has taken place. Record reviews have revealed that all staff have completed required cultural competency and resident rights sections during their initial training, 02/05/2021. All staff have continued to be trained on the same sections, during their required yearly training, conducted on 01/19/2024. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated .

Allegation #7: “Staff do not allow residents to have private phone calls.” It has been alleged that staff eavesdrop on residents’ conversation. Interviews revealed that three (3) staff (S1-S3) and three (3) out of five (5) residents (R2, R4-R5) have denied that the allegation has taken place. Record reviews have revealed that all staff have completed required resident rights sections, which include residents' right "to have reasonable access to telephones, to both make and receive confidential calls", during their initial training, 02/05/2021. All staff have continued to be trained on the same sections, during their required yearly training, conducted on 01/19/2024. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

Allegation #8 : Staff did not safeguard resident’s belongings.” It has been alleged that one resident’s personal belongings have been taken. Interviews revealed that three (3) staff (S1-S3) and three (3) out of five (5) residents (R2, R4-R5) have denied that the allegation has taken place.