Complaint Investigation Report

C1’s doctor confirmed that C1’s medications were long-acting and a short delay in administration would not trigger a seizure. Medication administration records were reviewed, and no pattern of missed doses were observed. Interviews reveal that staff followed emergency protocols by contacting 911 and arranging transfer for higher-level care. Interviews with clients did not reveal concerns about missed medication doses or staff mishandling their medication. There is insufficient evidence to prove that due to Neglect/Lack of Care and Supervision, C1’s missed medication dose led to their hospitalization in the ICU, therefore the allegation is Unsubstantiated.

The allegation that Staff are not keeping accurate client records. LPA reviewed three (3) client medications, based on LPA observations and record reviews, medications are being administered as prescribed by a physician. Medications matched the Medication Administration Record (MAR). LPA did not observe any missed medication dose during medication audit.

Based on evidence obtained during this investigation, the allegations above are 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 was discussed and a copy of this report was provided to J. Rosa Tucker, Program Director, at the conclusion of the visit.