Complaint Investigation Report

Facility is locking residents in the facility - SUBSTANTIATED

The Department conducted interviews and facility observation to investigate this allegation. Based on interviews with 3 staff and observations on 02/14/22 and 03/23/22 by CCL staff, it has been determined that facility was using pad lock on the main entry facility door to keep the residents inside which is a violation resident’s personal rights. Based on interviews and facility observations conducted by the department, the preponderance of evidence standards has been met. Therefore, the above allegation is found to be SUBSTANTIATED.

Facility is not meeting residents needs: Facility is not providing 1:1 care for a resident who requires 1:1 care-SUBSTANTIATED

The Department conducted interviews and reviewed records to investigate this allegation. Based on interviews and record review, department has concluded that facility is not providing required 1:1 care for a (R1) who, based on care plan, requires 16 hours per day of 1:1 care. Facility administrator (A1) and co-administrator (A2) stated to CCL staff during 03/23/22 visit that facility is providing 1:1 care to R1 but failed to keep the proper records or schedule to verify those services were provided. Based on interviews and records review conducted by the department, the preponderance of evidence standards has been met. Therefore, the above allegation is found to be SUBSTANTIATED.