Complaint Investigation Report

C1 also described ongoing issues with pests in the facility. They stated they have seen bed bugs, roaches, and rats since they moved in earlier in the year. They reported that when their case worker visited the facility, FM questioned why they were there. C1 stated FM later called them a “drug addict” and accused them of using substances in the streets. C1 reported that these interactions made them feel disrespected and unsafe. C2 stated that they do their own medication management and have no issues with facility staff.

An outside source who works directly with C1 confirmed visiting the facility multiple times. They stated the home appeared dirty and unmaintained each time they visited. The outside source reported that FM was often sleeping or unavailable and that C1 regularly needed to wake FM to receive their medication. They also confirmed hearing repeated concerns about pests in the facility from C1 and said they had observed poor sanitation conditions themselves. LPA interviewed a source that works very closely with the facility, they stated that FM is usually in their room which effects the medication management and FM does become upset when clients ask for their medication.

LPA interviewed Facility Manager who stated that although they do often retreat to their room during the day, they make sure to fulfill their duties and obligations including medication management. FM denied allegations of disrespect towards clients in care.

Based on the consistent statements from C1 and the outside source regarding medication delays, FM being unavailable, and derogatory comments made toward C1, as well as concerns about poor facility conditions, there is sufficient evidence to determine that staff did not properly manage medication and did not treat clients with dignity and respect. Both allegations are substantiated.The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Marianne Alfaro. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Marianne Alfaro at the conclusion of the visit. The signature below confirms the receipt of these documents.