Complaint Investigation Report

LPA Jeffries reviewed documentation on training of Staff 13 of 13 staff having completed at least 1 hour of training on infection control on 08/20/2023 and 04/09/2024, Impetigo on 03/07/2024, and 12 of 13 staff have 1 hour of training on Seizures dated 07/05/2022 and 07/01/2024. On 07/31/2024. LPA Jeffries reviewed facilities infection control Plan as being current following regulations. LPA reviewed Incident Report submitted by day program on 07/11/2024 of C1’s seizure. LPA noted nothing abnormal about report indicating C1 fell during seizure and Emergency Services were called. There was no evidence that C1’s needs were not being met during this incident on 07/10/2024. On 08/01/2024, LPA conducted interviews of Staff 1-4 (S1, S2, S3, and S4). S1-4 all stated that the only infection they were aware of was of C1 in March and no other Clients in care. S1-4 all stated they had infection control training, Impetigo training and Seizure training within the last 12 months. S1 and S2 who were assigned staff to C1 on 07/10/2024 stated that they were less than 6 feet away from C1 during the incident on 07/10/2024 and had no way to support the fall of C1, as C1 fell without warning while walking. LPA Jeffries conducted an interview on 07/31/2024, with Family Member of C1 (F1) who stated that C1 returned from the hospital with no concussion, no history of seizure and cause of seizure was unknown according to the hospital release diagnosis. F1 suspected Impetigo, and seizure were a result of staff neglect but could not provided any further details on how or who C1 contracted Impetigo, or what that day program did that resulted in C1’s seizure. LPA Jeffries noted that C1 attended Day Program 3 time per week for a total of 6 hours per day for approximately 11 months. At this time there is not enough evidence to support the allegations that “facility did not meet C1’s needs” and is unsubstantiated at this time.