Complaint Investigation Report

Regarding the allegation, ‘Unqualified adult providing care,’ the complainant’s concern is that there is no staff in the office or on the floor(s) since 6/26/2022. The complainant is also concerned that facility staff #1 (S1) is the only person at the facility to care for the residents.

To conduct a thorough investigation, LPA Walker attempted to contact the complainant multiple times, but did not receive a response. During the investigation, LPA Walker conducted a record review, and interviews with facility staff. Record review revealed that the facility does have staff working in the office, and on the floors before, during, and after the date of 06/26/22. Record review also revealed that S1 is qualified to provide services to the facility which were appointed upon hire. Interviews with facility staff revealed that there were staff working on the date of 06/26/22. Additionally, interviews with facility staff confirmed that the ‘staff schedule’ was accurate in reflecting which staff worked on 06/26/22.

Based on record review, and interviews which were conducted, there is insufficient evidence to support the allegation ‘Unqualified adult providing care.’ Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated at this time.

Regarding the allegation, ‘Facility cold water pump, on 5th floor, in disrepair,’ the complainant’s concern is that the facility water temperature is in disrepair.

To conduct a thorough investigation, LPA Walker attempted to contact the complainant multiple times, but did not receive a response. During the investigation, LPA Walker conducted a physical plant tour, and interviews with facility staff. During the physical plan tour from 11:10 a.m. until 11:38 a.m., a random selection of six (6) resident private restrooms were observed and water temperatures were measured. Six (6) out of six (6) resident private restrooms hot water temperatures measure between the requirement of 105 and 120 degrees Fahrenheit. Two (2) out of six (6) resident private restrooms cold water degrees elevated between 70.4 and 86.3 degrees Fahrenheit during the physical plant tour. However, there is no Title 22 Regulation section that states facility’s cold water temperature needs to measure within certain degrees in Fahrenheit. Interviews with facility staff revealed that on 06/30/22, facility staff was informed that the cold water being delivered by the faucets are not to the resident’s liking. Interviews with facility staff also confirmed that the facility contacted ‘DGK Pluming’ to schedule a visit.