Complaint Investigation Report

The above allegation could not be determined based on interviews and information provided during investigation. A finding that the complaint allegation of staff yelling at clients is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Another allegation received is regarding clients’ hygiene needs are not being met. The anonymous complainant reported that clients have not been changed. However, the complainant did not provide any name of a specific participant. During LPA’s 10-day complaint visit conducted on January 16, 2024, LPA observed ten staff including two trainee direct support staff (DSP), one nurse and one activity coordinator to assist participants with their needs. Based on records review, the facility provided a daily progress flowsheet that includes mental status, meal intake, activities of the day options, nursing notes, particular notes, restroom use bladder and bowel movement times, which it had a space for morning and afternoon check. The daily progress flowsheet is developed into a daily clinical report for the facility records. LPA was provided with daily clinical reports for the month of January 2024, where it does indicate that participants have been assisted with their daily care needs. Based on interviews conducted with eight participants (P1, P2, P3, P4, P5, P6, P7 & P8) and six staff (S1, S2, S3, S4, S5 & S6) confirmed that staff are assisting participants with their hygiene care needs. LPA was unable to gather additional information with an anonymous complainant because their contact information was not provided. A finding that the complaint allegation of clients’ hygiene needs are not being met is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.