Complaint Investigation Report

(Continued from LIC9099 Page) LPA conducted (14) client interviews. C1 revealed they were not provided with lunch and served foods that did not align with their diet. (13) of (14) client interviews revealed that they receive (3) meals a day. No other clients reported having a doctor ordered diet. LPA conducted records review for (6) current clients and reviewed LIC602 physician’s reports which corroborated no other clients have a doctor ordered diet. Therefore, the preponderance of the evidence standard has not been met.

It was alleged that “Facility smoke detector is in disrepair.” It was alleged that smoke detector outside of C1’s room was chirping at night and later unplugged on April 12,2024. LPA conducted a walk-through of the facility on June 12, 2024 from 2:15pm to 4:15pm and located (2) smoke detectors. (1) was located at the bottom of the stairs and (1) on the second level. During the time of the inspection, staff tested the main detector which made both detectors go off. LPA did not hear chirping during the time of the visit . Client interviews were unable to be conducted as there are currently no clients in care who resided at the facility on April 12, 2024. Therefore, the preponderance of the evidence standard has not been met.

Although the allegations above may have happened or are valid, based on records review, interview, and observation there is no preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.