Complaint Investigation Report

Review of Resident 1's (R1) Individual Day Program Service Plan, dated 9/20/2021, stated that the facility assists R1 in completing their hygiene tasks such as showering and dressing appropriately for the day by providing instruction. Review of R1’s quarterly report, dated 7/17/2022, stated that R1 has been successful in completing hygiene needs with verbal prompting. R1’s behavior data forms dated November 2022, indicated that staff were assisting R1 with their hygiene needs. Interviews also stated that laundry is done for the residents at least two to three times per week and as needed for incontinence care. During visits conducted 12/1/2022 and 2/07/2023, LPA observed staff member and R1 doing laundry together as an activity. Based on documents reviewed, interviews conducted, and observations made, the allegations that staff did not ensure resident is properly clothed and staff did not ensure resident is provided with clean clothing is Unsubstantiated.

There is an allegation that staff yelled at resident and staff smoked marijuana on the premises. Per information provided to the LPA, staff have been observed to be smoking marijuana on the premises and that there was yelling heard from inside the house. Review of Facility’s Drug and Alcohol Policy and Facility’s Rules of Conduct stated that employees are prohibited from being under the influence while on duty or performing facility business, and that drugs and alcohol must not be brought onto the property. Interviews conducted indicated that there have not been any staff member observed to be under the influence of drugs and/or alcohol, but some of the clients’ family members do smoke marijuana when visiting their loved ones. Interviews conducted also indicated that there have been no observations of staff yelling at residents within the past year. LPA was informed that a former staff member was terminated for yelling at residents and was no longer working for the facility. Based on interviews conducted and document review, the allegations that staff yelled at resident and staff smoked marijuana on the premises are 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.