Complaint Investigation Report

Document review indicated that there were 3 involved staff (S1, S2, and S3) within the operation of the sling and transfer of C1 on 07/26/2023. LPA conducted a review of training records related to the safe operation of transfers and utilization of the Hoyer Lift. LPA found that the last training was conducted on 07/03/2023. On that date, S2 was on vacation and S3 was not able to be verified through signature on the training document as being present for the training. Additionally, staff interview revealed that the sling that C1 utilizes is not the one that was utilized when training is conducted by staff. C1's sling was found to be slightly different than others. Staff interview further revealed that when training is conducted, it was done utilizing the more "typical sling". Thus, the allegation was Substantiated.

A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report was provided along with copies of the LIC9099-D, and Appeal Rights.