Complaint Investigation Report

The investigation revealed the following:

Allegation: Licensee not maintaining records

The detail of complaint alleges that Licensee is not maintaining accurate medication records as medication was given but not “signed off on” for several identified dates in November 2023.

On March 19, 2026, at 2:30pm, the Department interviewed Administrator (A1) , who denied the allegation stating that they maintain their records well, and there has been no report of medication errors of any kind.

On March 19, 2026, between 2:18pm and 4pm the Department interviewed 2 staff (S1-S2) regarding the allegation and of those interviewed 2 out of 2 staff denied the allegation stating that they have received medication training and they properly document the medication given. Each staff have Direct Service Professional (DSP) 1 and 2 training which includes medication certification.

On March 18 and 19 2026 the Department made call attempts to speak with the Placement Agency’s Quality Assurance Specialist (W1). However, calls were not returned by time of visit.

The Department reviewed the current MAR (March 2026) and found no discrepancies. All medication was given and signed off on.

Not all records from 2023 were available for the Department to review.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.