Complaint Investigation Report

On 8/28/2024 LPA received copies of R1’s pre-placement appraisal, IPP, and care plan documentation from Licensee which confirm that R1 has a known, documented history of refusing transfer assistance to go outside or to shower as well as physically and verbally abusive behavior towards care staff. Additionally, on 8/28/2024, LPA received a copy of the facility’s LIC500 Staff Roster & work schedule showing that the facility typically has 2 staff working during the day shifts and 1-2 staff working the evening shift, depending on residents' care needs. The facility is licensed for a maximum of 6 residents.

Based on record review, interviews conducted, and observations made, the allegations of resident's needs are not being met and insufficient staffing are UNSUBSTANTIATED. A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted. Copy of report discussed and provided to Licensee. Signature on form confirms receipt of documents.