Complaint Investigation Report

Regarding the allegation, “Staff incorrectly dispensed medication”; it is alleged that on 06/12/25, Client 1 (C1) was given a brown, blue, white and yellow pill by Staff 1 (S1) even though they are not supposed to be administered any medication at their Day Program. Interviews with the Program Director and four (4) staff (including staff that were assigned to C1 on 06/12/25), revealed that C1 does not currently take any medications at the Day Program, all denied giving C1 any medications and all denied witnessing any other staff giving C1 any medication. Staff further revealed that C1 previously took prescribed medications at the Day Program but were not able to provide the date of when that stopped. Staff stated that if they ever saw any staff providing C1 or any client that they know is not supposed to be taking medication at the day program, they would question them and report it. File and medication review did not reveal any indication of medication currently being administered to C1, only two (2) consumers currently take medications, and the LPA did not observe any brown, blue, or yellow pills during medication review. Additionally, file review and staff interviews revealed that there is no staff at the Day Program with the name provided for S1. During today’s visit the LPA attempted to interview C1, however was not successful. Interviews with consumers revealed that C1 used to take medications at the Day Program in the beginning at the year but have not seen C1 take medications recently. Furthermore, interview with a staff from C1’s home confirmed that C1 used to take medications at the day program, however they stopped around February or March and do not have any concerns about C1 being administered any medications at their Day Program. Based on the information gathered, this allegation is deemed Unsubstantiated at this time.

No deficiencies were cited. Exit interview conducted and report issued.