Complaint Investigation Report

Second allegation: Staff did not provide client medication as prescribed. Regarding the allegation stated above LPA conducted interviews with Staff #1, Staff #2, and Staff #3, who informed LPA that facility is not authorized to make medication orders for C#1. S#1-3 further informed LPA that C#1, and client’s mother are the only individuals that can make or authorize any order pertaining to client #1. During review of records LPA observed that Passionate Home 1 had reported that on 2/3/2025 and 2/4/2025, facility attempted to refill C#1 medication however, pharmacy informed facility that they are not authorized to make any orders for C#1. Pharmacy informed facility that C#1 and clients authorized representative can only authorize orders pertaining to C#1. Facility reported that C#1 was not able to receive medication on the dates listed because facility was not authorized. During review of Client #1 records LPA observed that C#1 mother was clients otherized representative and payee.

Third allegation: Staff failed to accompany client to an appointment. Regarding the allegation LPA conducted interviews with Staff #1, Staff #2, and Staff #3, who informed LPA that on 4/10/2025 Client #1 had court and staff had requested an UBER Staff#1 informed LPA that when C#1 was picked up by UBER that Staff #1 later received notification that the UBER trip was halted halfway and C#1 did not proceed to be transported to clients court appointment. Staff #1 informed LPA that C#1 was later with parent and facility was informed that C#1 did not attend court. LPA conducted interviews with Client #4 and Client #5 regarding the allegation stated above and both C#4 and C#5 informed LPA that staff has not denied or failed to transport clients to their appointments.

Fourth allegation: Staff spoke inappropriately in the presence of a client in care. Regarding the allegation LPA conducted interviews with Staff #1, Staff #2, and Staff #3 LPA went over the allegation with staff and all staff denied the allegation of “speaking inappropriately in the presence of clients”. LPA conducted interviews with Client #4 and Client #5 LPA went over the allegations with both clients who informed LPA that they have not witnessed staff speak inappropriately in the presence of clients. Client #4 and Client #5, informed LPA that all staff are respectful and kind. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated.

Unsubstantiated: meaning that 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.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility House Manager Innocent Okwudifele at the end of the visit.