Complaint Investigation Report

Based on interviews conducted with facility residents, it was learned that they are able to come and go as desired throughout the day. It was learned that residents are expected to follow all house rules and comply with medication requirements in order to be compliant. It was learned that staff are present throughout the day and residents are able to locate one for assistance at any time of the day and night. It was learned that outings were provided and residents did participate in them but due to the pandemic these have been temporarily halted at this time.

Based on interviews conducted with facility residents, it was learned that they were treated and spoken to with respect to their personal rights. It was learned that they did not feel intimidated by the facility staff nor were they fearful of any ill treatment. For the most part, facility residents agreed with the level of care and the level of mutual respect being exchanged at this time. They admitted that there were good and bay days between residents and staff but did not feel, in any way, that they felt threatened when these types of incidents took place.

Based on a review of the facility roster and the LIS 536, all facility personnel were properly fingerprint cleared and associated to this facility at this time. It was learned that there were (3) shifts available for staff working the morning, afternoon, and NOC shift. All staff members listed on the LIC 500 were observed to be present on the LIS 536 and cleared at this time.

Based on a physical plant tour of this facility and it's restrooms, it was observed that the toilets were in working order and in compliance at this time. It was observed that the toilets were able to be flushed, water basin filled back up, and remained full until the next use.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time.