Complaint Investigation Report

Staff do not treat resident with dignity or respect:

On 11/02/2023 and 11/09/2023, LPA interviewed client C1. C1 stated he/she is sensitive and emotional, and easy to get upset. C1 stated he/she has difficulty to express self, staff might not catch what he/she meant. C1 stated he/she might get confused when staff talked to him/her. C1 stated he/she does not feel unsafe in the facility. C1 stated he/she has no complaint against the facility. C1 stated all were due to his/her misunderstandings. C1 stated the facility staff treat him/her nice.

On 11/09/2023, LPA interviewed Administrator (ADM). ADM stated it is hard for C1 to express himself/herself and might interpret wrong what he/she heard. ADM stated sometimes C1 made story. ADM stated he/she and assistant manager are the two that C1 trusts most. ADM stated C1 likes to talk and talked a lot. ADM stated he/she and the facility assistant manager always listen to C1.

LPA interviewed staff S1. S1 stated C1's doctor changed the prescription, and C1 got some confusion about that. S1 stated C1 is emotional and easy to get upset. S1 denied that he/she did not treat C1 with dignity or respect. S1 stated he/she talked to C1 and explained to C1 clearly but C1 was confused. S1 stated the facility clients are all mental disability, and C1 has somewhat difficulty to understand the conversation.

LPA interviewed staff S2. S2 stated the facility staff need to check client every hour. S2 stated during the non-business hours, clients need to stay in the residency area and not in the office areas. S2 stated the facility staff will ask clients to leave the office areas during the non-business hours. S2 stated he/she explained the protocols to C1, but C1 got confused. S2 stated C1 is sensitive and emotional. S2 stated he/she saw C1 yelled at staff, but he/she did not see or hear any staff yelling at C1. S2 denied he/she did not treat C1 with dignity and respect.

A review of C1's clinic admission summary dated 7/6/2023, C1 has auditory hallucinations and visual hallucinations.

Based on records reviewed and interviews, no evidence to indicate that the facility staff did not treat C1 with dignity and respect, and C1 stated he/she did not feel unsafe in the facility.