Complaint Investigation Report

Regarding the allegation, vehicles used to transport clients are not maintained in a safe operating condition. Although staff acknowledged that transportation vehicles have experienced occasional issues with air conditioning and hydraulic lifts, the facility demonstrated that it has systems in place to ensure client safety. Drivers conduct daily morning inspections, and maintenance logs confirm these checks are documented. Staff, Participants, and Outside Source interviews confirmed that alternative vehicles are available and used when needed. Staff, the department's observations, and outside source interviews confirm that Participants are secured prior to transport, and no evidence was found to indicate that clients were transported in unsafe conditions.

It was futher alleged Staff did not properly meet clients' incontinence care needs. Staff described a structured incontinence care routine, which includes checks upon arrival, before lunch, and prior to departure. Staff also reported that some participants require and receive two-person assistance when necessary. A facility tour confirmed the availability of incontinence supplies and designated changing areas, including private spaces with beds and curtains. Participants and outside source interviewed did not express any concerns regarding the appropriateness or timeliness of incontinence care provided by the facility. While minor concerns were noted, the facility has procedures and resources in place to meet clients’ incontinence care needs. There is insufficient evidence to support that staff failed to provide appropriate incontinence care.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Director Ray Pallasigue, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.