Complaint Investigation Report

Staff and client interviews also revealed clients are able to come and leave the facility as they please. If clients are not present or available during mealtimes the food is maintained for two hours and then discarded. Interviews with both staff and clients also revealed snacks are always available and often kitchen staff will cook outside of mealtimes for clients as a courtesy, however there is more than sufficient time to eat. An outside source interview and staff interviews corroborated C1 was highly independent, and was often out in the community and capable of purchasing their own food using their EBT card. Staff interviews also revealed when notifying C1 it was mealtime, C1 would often be sleeping and would not get up to eat. A staff interview also reveal due to C1’s diagnosis of diabetes their sugar level was always checked when approaching kitchen staff for food, depending on C1’s sugar level C1 was always fed appropriately.

It was also alleged staff did not distribute and destroy medication properly. A resident record review C1 was able to self administer medications. Interviews with facility staff and an outside source and a facility record review revealed if a client is not present or refuses medication, the facility staff documents a medication refusal, notifies the client’s physician and discards the medication in a bio-hazard container provided by an outside agency, who will then pick up the container and properly destroy the medication.

Due to lack of corroborating evidence, the finding regarding the above allegations were established to be unsubstantiated. This finding means although the allegations may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

An exit interview was conducted with Administrative Assistant Patricia Mireles and a copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) was provided and signature on this form confirms receipt of these reports.