Complaint Investigation Report

Allegation #3 Staff does not ensure facility is kept in clean sanitary conditions. - Based on observation and interviews with clients and staff. 5 out of 5 staff and 5 out 5 clients all stated that the facility is cleaned and sanitized. They all stated that the facility has a cleaning lady and a janitor that cleans the facility every day. LPA observed that the facility is clean. LPA is unable to corroborate the allegation.

Allegation #4 Staff does not ensure medications are dispensed as prescribed. – Based on interviews with clients and staff. 5 out of 5 staff and 5 out 5 clients all stated that the facility nurses dispensed the client’s medication as prescribed. Staff stated that they followed the electronic medication administration record (EMAR) for accuracy. LPA is unable to corroborate the allegation.

Allegation #5 Staff dispensed medications not prescribed to clients. – Based on interviews and information received during the investigation. 5 out of 5 staff and 5 out 5 clients all stated that the facility nurses never dispensed medication that is not prescribed for the clients. LPA is unable to corroborate the allegation.

Allegation #6 Staff denied client medications - Based on interviews with clients and staff. 5 out of 5 staff and 5 out 5 clients all stated that the facility nurses never denied the clients their medication. Staff stated that if the client missed the medication window within which they should take the medication or outside of the time band like 8-10AM, the nurses would call the doctor and get authorization to give the medication to the client even if it is past the med pass window.

Allegation #7 Staff withheld client’s personal property upon discharge – Based on the interviews with staff and clients, they all stated that the facility staff never withheld any client’s personal property. The only time that they hold some of the client’s property is if the client leaves against clinical advice or if they are not officially discharged. The staff then call the clients’ number on file to pick up their belongings that they will hold for about 2 weeks to a month until they are retrieved by the client.

Allegation #8 Staff spoke inappropriately to other adults while in the presence of clients - Based on the interviews with staff and clients, they all stated that they have not witnessed any facility staff speaking inappropriately to another adult in the presence of the clients. LPA is unable to corroborate the allegation.

Information received during investigation LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Quality Assurance Coordinator Jasmine Garibay.