Complaint Investigation Report

Based on a review of the facility policies and procedures in regards to Infection Control, the version that was submitted into CCL was last updated on 03/23/2022. It was observed that there was a section, Infection Control-17, which did outline the policies and procedures for Respiratory Illness Outbreak. This particular section of the facility Infection Control Policy was last updated on 12/15/2021.

It was observed that this section of the Infection Control Policy did address the need for isolation for the residents, and staff alike, if deemed to be infectious and a threat to the Health, Safety, and Personal Rights of the residents in care.

Based on a review of the forms and documents submitted into CCL, it was learned that facility staff were originally on boarded for a duration of 4 weeks after date of hire. The number of hours for the first 4 weeks of training amounted to total of 41 hours. It was learned that 2 hours of the overall 41 hours were dedicated to Personal Protective Equipment (PPE) and Infection Control and Prevention.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegations finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred.

There were no deficiencies observed or cited during todays complaint visit.