Complaint Investigation Report

would clean affected area(s). Staff interviews revealed arrangement for medication changes, provided incontinent supplies and staff offered assistance. Although the care plan documented C2’s behavior, it did not include specific interventions to be used to address the behavior. LPA’s observations revealed no foul odors other than C2’s room. The Department interviewed C2 and it corroborated C2 is provided incontinent supplies and did not disclose any concerns of the services provided by the facility. Interviews with outside sources revealed no concerns about the services provided by the facility and there is belief the staff are meeting C2’s needs. Interview with facility management schedule 2 caregivers every shift to meet the needs of the residents. The investigation did not corroborate the facility is inadequately staffed to manage C2 behavior. Based on evidence obtained, the preponderance of evidence standard was not met, therefore the allegation is determined to be unsubstantiated.

On April 10, 2024, the Department received a complaint with an allegation that facility is not addressing a pest infestation. The Department’s investigation consisted of observations, review of relevant records, and interviews with client, staff, and other pertinent individuals.

LPA conducted tour and observed freezers, refrigerators, pantries, under cabinets and appliances and did not observe any evidence of pests. A review of Invoice and Service Reports revealed a pest control company provided the following services: on January 16, 2024, serviced for rats and spiders on side yard and outside perimeter; on February 14, 2024, serviced for stickbugs on outside perimeter; on March 19, 2024, serviced for spiders on outside perimeter; on April 17, 2024, serviced for spiders on outside perimeter; on May 15, 2024 serviced for ants, cockroaches, earwigs and spiders on outside perimeter and walkway edges. Pest control documents did not support the interior of the facility was serviced.

Staff interviews were inconsistent with how prevalent the pest infestation was. Responses ranged from staff indicating they had never seen any pests or rodents to others indicating they had seen a mouse every other week between November and February 2024. Staff interview revealed pest control placed baited poison traps outside of the facility. Facility staff discovered an entry point and sealed the opening. Traps were then laid to catch mice and the one staff indicated they had not seen a mouse since February of 2024. Other staff interviews did not reveal a timeline of the last time a pest or rodent was seen inside the facility.

Client interviews did not corroborate there was a pest infestation. Interviews with pertinent individuals revealed pest control serviced the facility on a month-to-month basis. The service area covered the inner and outer perimeter. The interview with the pertinent individual revealed that because it would require the