Complaint Investigation Report

There is an allegation that staff did not report resident’s incident to resident’s authorized representative. Based on interviews conducted, LPA received inconsistent information. Staff interview conducted indicated that the incident involving R1 occurred on the same day that R1’s authorized representative visited the facility. The staff member, authorized representative, and a Pine Parks Representative discussed the incident involving R1. LPA was unable to conduct an interview with the Pine Parks Representative. Multiple attempts were made to obtain their contact information were unsuccessful. Based on inconsistent information provided during interviews conducted, the LPA is unable to determine if staff did not report resident’s incident to resident’s authorized representative. Therefore, this allegation is Unsubstantiated .

A finding that the complaint is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Exit interview conducted. Copy of report, and LIC811 (Confidential Names) discussed and provided to Administrator. Signature on form confirms receipt of documents.