Complaint Investigation Report

C2 stated no and staff always makes clients food when asked. LPA and QAS interviewed Administrator and 2 staff who stated staff never deny clients food. Staff stated C1 is independent and knows how to make themselves a sandwich or cereal and is always allowed to go into the kitchen and get food. LPA observed an adequate supply of food that was accessible to clients in the kitchen. LPA reviewed C1’s Individual Service Plan, which indicates that C1 has fabricating stories/lying listed as a behavior. LPA and QAS interviewed C1’s Service Coordinator about the allegation and they stated that based on what they know about the facility and Administrator they have never had this concern and don’t see the home depriving or taking away food from clients. Based on interviews, the allegation is Unsubstantiated at this time.

On the allegation: Facility staff falsifying sign in and sign out sheet. It was alleged the sign in and sign out sheets for Client 1 are false and the facility is forging them showing C1 working with a specialist when in fact C1 was somewhere else and staff “mess with the timesheet”. The reporting party stated they wanted to see how often the facility uses the behaviorist and observed visitor logs that did not match up with the services being provided. LPA and QAS interviewed Administrator who stated that sometimes staff forget to have visitor’s sign in or forget to have C1 sign out when they leave on outings so it’s not always accurate. LPA and QAS interviewed C1’s Service Coordinator about the Visitor Log and they had no concerns regarding the facility not meeting with the Behaviorist or not having “accurate” logs. LPA reviewed PIN 22-28-ASC dated 9/26/22 that states it is a “Best Practice” to screen Visitors for symptoms of COVID-19 and do a temperature check but does not state requirements about Visitors signing in. The previous PIN 22-07-ASC states it’s a “Best Practice” to record name and contact information for individuals entering the facility for possible contact tracing at a later date. Based on the information obtained the allegation is deemed Unsubstantiated at this time.

Exit interview conducted, copy of report was emailed and printed.