Complaint Investigation Report

Facility does not follow client's special diet- Complainant alleges client, C1 is severely allergic to a certain food and cannot eat anything with that food in it. Also, every time someone has eaten C1’s food, it is reported to staff, but no staff member assist in investigation who eats this food, nor do they help client to get something else. LPAs obtained copies of C1’s Physician’s report that confirms allergies to multiple foods and indicates that C1 has a special diet that avoids these items. Although interviews with S2 informed there are three clients with food allergies, the facility is aware of the allergies and offers other options of food. Additionally, C1 goes out and buys their own food, stores it in the refrigerators and cooks it. Interview with Program Director indicated that there are many different alternatives offered to C1 and the cook often orders the foods C1 enjoys. Interview with C1 corroborated Program Director statement indicating the chef gets them plenty of other substitute options of food each week. On 4/29/2025 LPA’s conducted an unannounced visit to facility and observed many different fresh vegetables & fruits, along with plenty of other perishables and non-perishables.

Facility does not assist client with arranging medical services- Complainant alleges C1 doesn't have a way to directly contact their psychiatrist outside of appointments and C1asked medical staff to call a transportation company to transport them to the Emergency Room as they weren’t feeling well and their body was shaking uncontrollably. S1 informed when clients first get to the facility they are informed getting to and from appointments (Dr. Dentist, etc..) they provide them with their transportation options. If they don’t have a phone, then someone will make the appointment for/with them. Interview with client, C2 confirm this. Daily progress notes obtained for C1 indicate they indicated feeling jittery and would like to be sent out to the emergency room. Staff assessed and scheduled a ride to emergency room. Later, C1 called requesting a ride back to the facility, which staff arranged. Interview with C1 revealed that the facility did provide transportation to and from the emergency room for them. They have not needed one since and informed LPA that they are able to call 911 with their cell phone.

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. No deficiencies cited.