Complaint Investigation Report

On 1/3/2024 LPA conducted a visit to the facility to initiate investigation into the above allegation. LPA obtained the following documents: resident roster, staff roster and client admission paperwork. LPA reviewed admission paperwork for three clients (C1, C2, C3). Based on these documents, LPA determined that C1 and C2 signed their admission paperwork within seven calendar days of their admission. LPA determined C3 was admitted on 11/13/2024 and signed their admission paperwork on 12/6/2024. LPA conducted an interview with Staff 2 (S2). S2 stated that there was an error in following up with C3 to acquire their signature in a timely manner.

Based on documents reviewed and interviews, the LPA determined the facility did not acquire C3's signature on their admission paperwork within seven calendar days of admission. The preponderance of evidence standard has been met. The allegation of "Facility did not ensure admissions agreement was signed by client" is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred. An exit interview was conducted, and this report was reviewed with facility staff. A copy of this LIC-9099, deficiency page and appeal rights were provided to the facility.