Complaint Investigation Report

On the allegation: Facility staff spoke inappropriately to client. LPA De Leon interviewed 5/5 staff at the facility which revealed that no staff had spoken inappropriately to any of the 4 clients in care. The facility did not have any incident reports or staff disciplinary records on file to report any staff had spoken inappropriately to client. 4/5 staff interviews said during January-February 2024 staff 6 (S6) was having issues with new house supervisor staff 1 (S1), 6’s coming to work in a bad mood, not smiling, and at times sabotaging S1 from doing S1’s job as the house Supervisor, and it was never being taken out on the clients at the home. Staff 6 had been relocated to another facility within the C.A.L.L. program and then was eventually terminated from employment. S1 resigned from C.A.L.L. program on 02/20/2024. Due to the lack of evidence this allegation is deemed Unsubstantiated at this time.

On the allegation: Facility staff did not follow needs and services plan. LPA conducted interviews with 5/5 staff at the facility which revealed the facility has a time daily in staff schedules where staff are overlapped so the outgoing staff can communicate the client’s day to the incoming staff, the home has blinders on clients in care with all the information on the needs and services plan and all care plans are followed. Based on the lack of evidence this allegation is deemed Unsubstantiated at this time.

On the allegation: Facility staff did not dispense medications as prescribed. LPA interviewed 5/5 staff which revealed Staff 3 (S3) provided a prescribed PRN medication to Resident 1 (R1). LPA reviewed the client’s medication records and Resident 1 (R1) did have an order from a doctor for a PRN medication and the medication RX # 628396 with a Fill date of 08/22/2023 to go with the physician’s order. Based on the evidence this allegation is Unsubstantiated at this time.

Exit interview conducted and copy of report printed for Administrator.