Complaint Investigation Report

Regarding the allegation that licensee is operating beyond the scope of their license, the facility has a licensed capacity for six residents. However, oftentimes residents from a sister facility come and do activities together during the day. Interviews with staff report that the staff to client ratio is always maintained and an interview with an Outside Source (OS1) familiar with the facility and clients reported that the facility is compliant in operating within the vendor guidelines. OS1 did not report any concerns regarding facility staff being out of ratio.

Regarding the allegation that staff do not safeguard resident’s possessions, records reviewed revealed the facility had thorough documentation of Client/Resident Personal Property and Valuables (LIC 621) forms. Interviews with residents in care did not report any concerns regarding their possessions being mishandled by facility staff. Interview with OS1 reported no concerns.

Regarding the allegation that staff do not prevent resident(s) from hitting other resident(s), interviews with residents and facility staff corroborated no recent incidents of physical altercations between residents. Interview with OS1 reported not having any concerns regarding residents engaging in physical altercations or staff not providing enough supervision to adequately address the situation if it arose.

Regarding the allegation that staff do not ensure that resident(s) hygiene needs are met, during unannounced facility visits LPA observed residents appearing clean and well groomed. Interviews with residents reported no concerns regarding their hygiene needs. Residents reported ample hygiene supplies being present, which LPA observed during unannounced facility visits. OS1 did not report any concerns regarding resident’s hygiene needs not being met.

Regarding the allegation that staff do not ensure that resident(s) toileting needs are met, records reviewed revealed residents are able to tend to their own toileting needs independently. Staff and resident interviews corroborated this. Interview with OS1 did not report any concerns regarding toileting needs of residents not being met.