Complaint Investigation Report

The investigation revealed the following; In regards to the allegation "Staff handled resident in a rough manner." it was alleged that on 2/22/20 Staff #3 (S3) body shoved C1 in the facility. (2) of (2) staff interviewed denied the allegation. (2) of (2) clients interviewed could not corroborate the allegation. S3 no longer works in the facility and was unavailable for interview. Review of documents collected do not show the incident occurring. Interview with C1's placement agency does show that the incident occurred. Based on LPA's review of documents and Interviews conducted there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED

In regards to the allegation "Staff left residents unsupervised in the facility. " it was alleged that on 2/28/20 around 7:40 PM the residents were sleeping in their rooms and there was no staff member in the house. A 2 minute and 42 second video of C1 walking around the home at 7:46pm was provided that did not show staff inside the facility. (2) of (2) staff interviewed denied the allegation. (2) of (2) clients interviewed could not corroborate the allegation. Interviews show that Staff #4 (S4) was the staff member working the night of 2/28. According to staff, S4 was at the front of the facility for about 5-10 minutes and not away from the property. According to client interview, S4 was not inside the facility and gone for over 30 minutes. Investigation conducted by C1's placement agency show that only C1 and S4 were present during this alleged incident. The placement agency determined that S4 was present on property but not inside and due to conflicting statements, whether the time S4 was outside of the facility cannot be ascertained. Based on LPA's review of documents and Interviews conducted there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED

In regards to the allegation "Staff mismanaged resident’s medication." it was alleged that on 2/27/2020 C1 asked for their morning meds, but were not given until 5 PM. (2) of (2) staff interviewed denied the allegation. (2) of (2) clients interviewed could not corroborate the allegation. Interviews show that C1 has a history of refusing medication and taking the medication when C1 chooses to. LPA was not provided more information as to whether client refused medication on this day and did not observe missed medication documentation for this date. Based on LPA's review of documents and Interviews conducted there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED