Complaint Investigation Report

All staff interviewed stated that they were aware and trained to care for the client’s diagnosis and 1:1 direct supervision was provided during feeds. Staff were observed by the speech pathologist presenting knowledge of feeding techniques.

Interviews conducted with C1’s physician revealed that C1 was seen monthly and communicated with facility staff regularly. No signs of neglect were observed. R1 physician stated that C1 did not require a higher level of care, and both the physician and speech pathologist confirmed caregivers were knowledgeable and attentive, with no evidence of negligence contributing to R1’s death. Based on observation of coroner’s report, there were no signs of abuse, trauma, neglect or suspicious circumstances. Therefore, based on interviews and record review, this allegation is UNSUBSTANTIATED.

An exit interview was conducted where this report LIC809 and LIC809C were discussed and a copy was provided to Administrator, Vivian Francisco.