Complaint Investigation Report

Regarding the allegation toxins are accessible to clients. Based on LPAs observations and physical walk through of the facility, there was a lack of evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation facility staff did not dispense medications as prescribed. LPA conducted medication check for the month of April 2025 and looked at medication records from 10/01/2024 through 01/31/2025. Based on LPAs observations and record review, there was a lack of evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation facility staff did not provide quality meals to clients. Facility has a weekly food menu that includes breakfast, lunch, and dinner. When clients go on outings, they have the choice to buy food or have the facility provide them with a cold lunch. Based on document review and Interviews conducted; information provided was contradicting with a lack of corroborating evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.