Complaint Investigation Report

The investigation revealed the following:

Allegation: Licensee did not ensure staff received proper training.

It is alleged that a new staff member was to be trained by another staff but it did not happen. And the new staff was written up for being alone with the clients without training. Interviews with staff members revealed that prior to allowing a staff to start work at the facility, the new staff receives training from their headquarters first. Then once at the facility, the new staff will be shadowed by the Lead or Senior Staff. The new staff will also go through orientation and other important training concerning the clients and how the house is run. S1 and S5 denied the allegation and stated that they are responsible in training any new staff member. And senior staff members will assist with minor training. Staff members interviewed indicated that they received the orientation training when they first started at the facility. Interviews with C3-C4 revealed that they are not familiar on how the facility train the staff, but has no complaints with how the staff are doing their job. LPA reviewed the in-service training for the staff members and are up-to date. Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.

Allegation: Facility staff left client in soiled bedding overnight

It is alleged that a staff noticed a client was covered in feces and had been left with feces in his bed when the staff arrived for work. Interviews conducted with staff members revealed that none of the clients wear diapers nor incontinent. S1 and S5 denied the allegation and stated that no one reported this incident. Some staff members stated that they did not not have seen any client left soiled bedding overnight. Staff members indicated that due to some clients' health issues and size, they become smelly. A.M. Shift staff members indicated that they did not see any client covered in feces or had been left with feces because the linens are clean and washed often. S taff members also indicated that there's a roster on who will clean and shows their duties/responsibilities which the staff follows. Interviews conducted with C3-C4 stated that they can go to the bathroom and wipe themselves. They hardly had an accident at night, but if they did, the staff would give them a bath or shower. Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.