Complaint Investigation Report

Additional perishable food items were maintained in storage at the facility and/or an extra refrigerator/freezer. All food storage procedures were observed to be adequate by LPA including the freezer and refrigerator both being the appropriate temperate Fahrenheit. There was emergency food and water in a storage room/area which was observed to be in good condition. LPA observed an appropriate amount of facility cleaning supplies, disinfectants, and other items. The facility restrooms were sufficiently stocked with soap, paper towels, and additional supplies; towels and washcloths are not shared. LPA interviewed Staff and received documentation of a facility weekly menu for clients in care as well as documented food allergies/food preferences. LPA observed that the facility maintains a food service menu for clients that lists the options for meals rotating on a weekly basis. LPA also received facility documentation of multiple monthly Grocery Receipts listing food products observed by LPA in the facility for the month of January 2025. LPA received a facility binder organizing Grocery Receipts by month for the year of 2024, with all months having multiple lengthy supporting receipts. Based on the information gathered, there is insufficient evidence to prove the facility has insufficient supplies. Therefore, the allegation is Unsubstantiated.

On the allegation: Facility is not arranging transportation. It is alleged that the designated facility transportation vehicle almost never has gasoline on the weekends because on Friday's, the facility administrator no longer puts gasoline in it. It is alleged that there have been many problems with the clients in care because they need to have their exit and many times it can't be done because there is no gasoline in the transportation vehicle.

LPA requested and received documentation from the facility above including but not limited to a monthly Vehicle Log, monthly Vehicle Maintenance with Gas Receipts, and monthly Petty Cash Register. LPA conducted record review of the Petty Cash Register that had documentation of Petty Cash Transactions with the date, purpose, amount, and receipt documented. LPA reviewed the gasoline receipts for the facility transportation vehicle, which are organized monthly by the facility. LPA observed each month in 2024 to have up to 4 to 5 gasoline receipts using the same vehicle card number. Staff stated to LPA that the facility has a corporate gasoline card provided by the Licensee for the purchase of gasoline in the facility transportation vehicles for clients. All interviews with Staff stated that the administrator is the primary driver for client appointments and/or client outings. LPA has personally observed the administrator taking clients to medical appointments or returning from medical appointments during multiple visits to the facility in 2024. Clients interviewed by LPA agreed with this statement and told LPA that they are regularly taken to their employment, on shopping excursions, and to medical appointments. Continued on 9099-C