Complaint Investigation Report

The investigation revealed the following: Regarding the allegation "Staff mishandled a client's medication,” it is being alleged that reports their medication was given incorrectly. It is being alleged that the client has two medications to take and the staff mixed them up. It is being alleged that the medications are to be taken six hours apart but were given at the same time. Record review reveals that Lorazepam is not to be taken within six hours of Valium, also known as Diazepam. Record review reveals that on 05/24/24 Lorazepam and Diazepam was given within six hours of each other. Interview with Staff confirmed that Valium is also known as Diazepam and that the medication on 05/24/24 was administered incorrectly. Regarding the allegation “Staff mishandled a client's medication,” based on record review and interviews, the preponderance of evidence has been met therefore the allegation is Substantiated.

An exit interview was conducted and plans of correction developed. A copy of this report and appeals rights was reviewed and left with Spencer .