Complaint Investigation Report

Furthermore, interviews with AR revealed that the facility followed medical orders properly, promptly reported health concerns to R1's Conservator (CV) and physician, and kept CV informed of hair removal efforts and R1's recovery progress. Additionally, AR clarified that the related health issue was not present during initial hair removal efforts, and that facility staff stopped hair removal efforts when the physician ordered the efforts to stop. AR also stated that they advised all staff to discontinue hair removal efforts on all clients once this health issue arose in order to avoid potential health issues with other clients. AR also explained that the physician had difficulty understanding AR's accent and English during the medical visits because English is not AR's first language. AR expressed concerns that R1's physician did not fully understand that the facility had already stopped hair removal efforts due to the language barrier.

LPA conducted a telephone interview with Caregiver #1 (C1) and obtained information pertaining to the allegation. C1 confirmed that once R1 began exhibiting health issues, AR announced to all facility staff that hair removal efforts should be stopped for all clients. This corroborates with the information that AR provided.

Additionally, an interview with CV revealed that the facility provides appropriate care to R1, and that the facility was communicating with the responsible party regularly about R1's health issue and recovery progress. CV also confirmed that the facility stopped hair removal efforts once the physician wrote the orders.

LPA attempted to conduct an interview with R1; however, R1 was unable to provide relevant information pertaining to the listed allegation.

Lastly, a record review was conducted. LPA reviewed R1's Medication Administration Record, physician's notes, daily notes, the facilities LIC 9020, Register of Facility Clients/Residents, R1's admission agreement, and R1's conservatorship report. The record review revealed that the facility does their due diligence in administering medications and documenting health issues. Also, the physician's notes do not specify how the clinic knows if facility staff had stopped or had not stopped hair removal efforts once orders were given.