Complaint Investigation Report

In addition, C#3-6 informed LPA that all meals are prepared by the clients as staff supervise the clients. Furthermore, throughout the interview C#3-6 informed LPA that the meal plan is listed under the program guidelines. C#3-6 informed LPA that all clients have access to food and denied witnessing staff restrict food from C#1 or to any client in care. LPA conducted a walkthrough of the facility during the walkthrough LPA observed facility to have three refrigerators and a deep freezer, LPA observed enough food to be available and accessible to clients in care. LPA conducted an interview with Staff#1 who informed LPA that food is prepared by the client as part of the client’s program. S#1 further explained that food is always available to the client while staff supervises the client during each meal preparation. S#1 denied food being restricted to C#1 and informed LPA that all food accommodations, restrictions, are followed based of each resident doctor orders.

Third allegation: Staff restricted client access to telephone services. Regarding the allegation stated above LPA conducted interviews with Client#3-6 regarding the alleged allegation stated above during the interview C#3-6 informed LPA that during the admission of the client calls are minimal however, not restricted. Furthermore, C#3-6 informed LPA that the facility allows the client to make 30-minute calls a day between 2:00pm-3:00pm and 9:00pm-10:00pm in addition, C#3-6 informed LPA that phone times increase in phases. C#3-6 denied facility restricting clients to phone access. Licensing Program Analyst (LPA) conducted an interview with Staff #1 regarding the alleged allegation S#1 denied telephone services to be restricted from C#1. Staff #1 informed LPA that C#1 was on observation due to an incident that involved C#1 pocketing medication, which is a safety concern to not only C#1 but to all clients in care and as a result C#1 telephone access was minimal however, not restricted.

Fourth allegation: Staff did not provide reasonable accommodation to client in care. Regarding the allegation stated above Licensing Program Analyst (LPA) conducted interviews with Client#3-6 LPA went over the alleged allegation with the clients and all informed LPA that facility is flexible and provides accommodations to clients if and when the accommodations or requests made by the client are within program guidelines. In addition, C#3-6 denied being on any accommodations per doctor’s request. LPA conducted an interview with Staff #1 LPA went over the allegation with S#1 and S#1 informed LPA that the facility followed C#1 accommodations and requests based on C#1 doctors orders. S#1 denied not providing reasonable accommodations to C#1, and informed LPA that all doctors orders along with requests are strictly followed based on each client’s physician’s reports.