Complaint Investigation Report

LPA’s record review at 2:45 p.m. on 02/07/2023 and today at 9:30 a.m. revealed the facility met the required staffing ratio, and staff who provided care and supervision during swimming sessions had valid water safety certificates. Additionally, staff were certified through the American Red Cross and with in-service trainings for water safety. Interviews today with S1 at 10:15 a.m., Staff #2 (S2) at 12:15 p.m., and Staff #3 (S3) at 12:40 p.m. confirmed the facility operated within the required staffing ratio and all staff who supervised swim therapy had valid water safety certificates. Interview with Client #2 (C2) at 11:40 a.m. today revealed the facility provides sufficient staff to supervise swim therapy. During the physical plant tour at 10:30 a.m. today LPA observed 2 staff supervising 3 clients in swim therapy. Based on record reviews and interviews, there is insufficient evidence to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “staff do not ensure that client is administered their medication(s) as prescribed” it was alleged S1 did not properly assist C1 with their medication. Record review today at 9:30 a.m. revealed C1’s medication was to be crushed and given with honey or thick liquids. Record review on 02/07/2023 at 2:25 p.m. revealed S1 had medication passing authorization and training. Interview with S1 today at 10:15 a.m. confirmed they provided C1’s medication as instructed. Clients interviewed today between 10:50 a.m. and 12:00 p.m. had no concerns with medication assistance. Based on record reviews and interviews, there is insufficient evidence to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation “staff are not adequately trained” it was alleged facility staff were insufficiently trained in medication administration to meet the needs of clients in care. Interview with the Administrator on 02/07/2023 at 2:25 p.m. revealed that some staff did not have medication training, but all client medications were administered by qualified and trained staff. Interview with the facility’s registered nurse today at 10:55 a.m. revealed that she trains and certifies staff for medication assistance. Interviews today with S2 at 12:15 p.m., S3 at 12:40 p.m., and Staff #4 (S4) at 1:15 p.m. confirmed that all staff who assist with client medications are trained and certified. Record review today at 9:30 a.m. revealed all staff assisting with medication had the proper certifications and training. Based on record reviews and interviews, there is insufficient evidence to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Appeal rights discussed. Copy of report provided.