Complaint Investigation Report

. Regarding the allegation “Staff do not have fingerprint clearance” LPA retrieved a facility roster via Guardian Background System, and observed that Staff #1, Staff#2, and Staff#3, that were currently working at the facility all were eligibly cleared. LPA conducted a file review for Staff 1-3 and discovered that all clearance records were on file.

Third allegation , Staff lock facility doors to prevent residents from leaving. Regarding the allegation “Staff lock facility doors to prevent residents from leaving” LPA conducted a walkthrough of the facility and inspected six out of six resident’s bedrooms along with resident’s doorknobs and observed that no laches or childproof locks were in place. In addition, LPA conducted an inspection on all doors along with emergency exists and witnessed that no latches or childproof locks were in place. LPA conducted interviews with residents regarding the allegation “Staff locking facility doors to prevent residents from leaving” all residents denied being locked or prevented from leaving the facility. LPA conducted interviews with staff regarding the alleged allegation, and all denied locking or preventing residents from leaving the facility.

Fourth allegation , Staff insert suppositories to residents in care. Regarding the allegation” Staff insert suppositories to residents in care” LPA conducted interviews with staff and all staff denied utilizing or inserting suppositories to residents. In addition, all staff informed LPA that suppositories are not kept or stored at the facility. LPA conducted interviews with residents, and all denied having suppositories inserted by staff. LPA conducted a medication inspection and discovered that no suppositories are being stored.

Fifth allegation , Staff did not complete required trainings. Regarding the allegation “Staff did not complete required trainings” LPA conducted a full staff file review and observed that training was completed LPA also observed certificates of completion to be on for all staff.

Sixth allegation , Staff did not maintain resident records. Regarding the allegation “Staff did not maintain resident records” LPA conducted a file review of all resident records and discovered that all required documentation for six out of six residents were on file based on Title 22 Residential Care Facility for Elderly (RCFE).

Seventh allegation , Residents are not provided proper food service. Regarding the allegation “Residents are not provided proper food service” LPA conducted an inspection on facilities food supply. During the inspection LPA discovered that the facility had adequate amount of food supply to meet resident needs. In addition, LPA observed that all food including canned goods sustained current shelf life. LPA conducted interviews with residents where five out of six residents stated that that the food is okay and have no concerns. Resident#6 stated that the breakfast that is served is good, and that Resident#6 purchases and stores their own lunch and dinner.