Complaint Investigation Report

individuals that have access to the staff files are the Administrator and Licensee’s, as they are the ones that hold the key. Interviews conducted with staff revealed that they do not have knowledge of staff not being properly trained and giving medication, but did hear that in the past staff were working by themselves and had no choice but to administer medication even if they were not properly trained to do so. Per those staff interviews it was reiterated that this was not something that was witnessed first hand but it was something that they heard. There is insufficient evidence to corroborate or refute the allegation of facility does not ensure staff are properly trained to dispense medications to clients in care, therefore it is UNSUBSTANTIATED.

Staff does not ensure clients records are properly maintained

It was alleged that the facility staff don't keep accurate P & I ledgers, as there are no ledgers or receipts for P& I, and that there were handwritten receipts with ineligible signatures. LPA conducted a review of two (2) clients P& I logs (Client #1 (C1) and Client #2 (C2), all money was balanced and accounted for, in addition the P&I ledgers and receipts were present and available for review for the months of July, August and September 2023. Note that Client #3 (C3) is able to handle their own money and there is no log kept for them. LPA did not observe any discrepancies. Per interviews conducted with the Administrator Solomon Chuwku, He is the one responsible for the P&I funds, and that the Licensee's do have access as well, outside out of the Licensee's and Administrator no one else has access to the clients P&I funds. LPA observed for there to be the actual use of P& I logs as well as there to be handwritten forms dating back to year 2018, however the only notes observed from the placing agency was reminding staff to have the resident cash out maintain a certain balance. Additionally it was reported On 4/28/2023 the Morning Notes for C3 were missing. The missing notes were located on the premises at the time of LPAs visit conducted on 7/5/23. It is unknown who took the notes out, but they were replaced. There is insufficient evidence to corroborate or refute the the allegation of staff does not ensure client records are properly maintained, therefore the allegation is UNSUBSTANTIATED.

Staff do not dispense medications as prescribed to clients in care. It was alleged that facility staff distributed medication to a resident’s that were expired and belonged to another resident. LPA was unable to corroborate that this incident did occur. It was further alleged that the Licensee gave the directive for staff to administer any residents that are prescribed a PRN medication for it to be given along with the regularly prescribed medication to assist with making the day running smoothly.