Complaint Investigation Report

T he investigation revealed the following:

Allegation: Staff mishandled a client's medication while in care

The detail of the complaint alleges that C1’s mother asked facility staff if C1’s medication was given and there was no response until the next day.

On March 27, 2026, at 1:42pm the Department interviewed Administrator (A1), who stated that she was not employed with the company during time of the complaint, however she can say with certainty that the medications are given on time and as directed.

On March 27, 2026, between 2:00pm and 3:00pm, the Department interviewed 2 staff (S3-S4) regarding the allegation. Of those interviewed, 2 out of 2 staff denied the allegation stating that staff did not mishandle C1’s medication while in care. Additionally, both staff stated that medication is given on time and as directed. Lastly, 2 out of 2 staff stated that they audit the Medication Administration Record (MAR) for completeness and timeliness.

On November 8, 2023, the department interviewed 2 staff (S1-S2) regarding the allegation. 2 out of 2 denied the allegation of staff mishandling C1’s medication while in care. It was revealed that the medication was given as directed, however it was not conveyed to C1’s mother when she requested the information, resulting in mis-communication.