Complaint Investigation Report

The facilities washer and dryer are in an open hallway closet with no door and a curtain that was slid open during the investigation visit. The washer and dryer are in direct access of entering and exiting 3 resident rooms in this facility. LPA interviewed Staff 1 (S1), who stated, “that’s where we have been keeping the detergent.” when asked by LPA. LPA instructed S1 to secure the detergent and fabric softener so that it was not accessible to resident in care. LPA noted that there is currently a resident in care that has a diagnosis of dementia which regulations require these items to be inaccessible. Items reported, and observed were accessible to residents in care. At this time there is enough evidence to support the allegation of, “Cleaning supplies were accessible to residents in care.” and is substantiated at this time.

As to the allegation of, “Knives were accessible to residents in care.” It was alleged by a reliable source that cleaning supplies, knives, and medications were accessible to residents in care in the first week of January 2024. On 01/09/2024, LPA Jeffries conducted an unannounced investigation visit to the facility where he observed and photographed 3 large kitchen knives, and scissors in an open drawer in the kitchen. LPA interviewed staff 2 (S2) about the knifes, and scissors in the open drawer and S2 stated, we don’t use those knifes.” and “they have been there.” LPA noted that the drawer LPA found the knifes, and scissors was the first drawer as you would enter the kitchen and was not a secured drawer. LPA photographed the knifes and scissors in the unsecured drawer and asked S2 to secure them in the secure lockable knife drawer located adjacent to the unsecured drawer in the kitchen. LPA noted that there is currently a resident in care that has a diagnosis of dementia which regulations require these items to be inaccessible. Items reported, and observed were accessible to residents in care. Based on observations, interviews, and photographic evidence there is enough evidence to substantiate the allegation of, “Knives were accessible to residents in care.” and is substantiated at this time.

Exit interview, report read, citations issued, appeal rights and report provided.