Complaint Investigation Report

Staff #2 informed LPA that the facility does not keep folders or files with client’s personal information. Staff #2 further explained that all personal and confidential information pertaining to the client is kept digital in their department’s database. Staff #2 stated that every client is given a folder that is used throughout client group session Staff #1 stated that the group session folder does not hold personal or confidential information pertaining to the client. LPA conducted an inspection and observed a storage unit (cubby) which stored folders for each client in care. LPA observed that no personal or confidential information pertaining to a client was kept inside each folder. LPA conducted interviews with Client #2 and Client #3, regarding the alleged allegation and C#2 and C#3 informed LPA that the purpose of the folders is to store assignments, handouts and use during group therapy sessions. Client #2 and Client #3 indicated that their folders do not hold any personal or confidential information.

Third allegation: Staff did not ensure that facility is kept clean. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that there has not been any report indicating that a client was seen or being treated for staphylococcus (Staph). Staff #1 further indicated that Client #1 was not seen or being treated for Staph. LPA conducted an interview with Client #1 and Client #2 regarding the alleged allegation, and Client #2 and Client #3 stated not seeing Client #1 with Staph or any skin wounds. Client #2 and Client #3 denied having any open wounds or staph. Client #2 and Client #3 informed LPA that the facility is kept clean and staff does a good job at disinfecting all common areas throughout the facility. Client #2 and Client #3 also informed LPA that they also assist with the disinfection of the facility and with the maintaining of the facility. LPA conducted a walkthrough of the facility and observed facility to be clean, organized, and free of clutter.

Fourth allegation: Staff did not prevent residents from bullying another resident in care. Regarding the allegation stated above, LPA conducted an interview with Client #2 and Client #3 regarding the alleged allegation. Client #2 and Client #3 informed LPA that during their stay they have not witnessed Client #1 being bullied by any client or staff member. Client #2 and Client #3 informed LPA that Client #1 personal hygiene was mentioned however, clients stated that it was not mentioned in a rude or malice manner. Client #2 and Client #3 informed LPA that personal hygiene is part of their program plan and stated that Client #1 was not following the plan regarding hygiene.