It is alleged that staff speak to clients in an inappropriate manner. Regarding this allegation it is reported that Client #1 (C1) was being interviewed by a State Council representative when C1 raised their voice towards Staff #1 (S1), S1 then began a verbal confrontation with C1. LPA interviewed Administrator and it was discovered that Administrator was on the phone with S1 at the time of the alleged verbal dispute and Administrator states that S1 did not raise their voice or argue with C1. S1 was responding to C1 and trying to de-escalate the situation. Interview with S1 revealed that S1 did not address C1 in a negative manner nor was C1 show any disrespect. S1 states that they were simply trying to de-escalate the situation and advising C1 that there was no need to raise their voice towards them. S1 states that C1 tends to address staff in a negative manner when there are other persons in the facility. LPA interviewed C1 and C1 stated that the information that was shared was misunderstood. C1 states that what was said and what was meant are different things and that C1 did not say that the staff speak to C1 in an inappropriate manner. C1 states that they like all the staff members and that all staff treat C1 with respect. LPA interviewed additional staff present and they corroborated that C1 is aggressive towards staff and all that staff do is try to de-escalate the situation and try to redirect C1. LPA interviewed clients C2 and C3 via phone and they state that staff are all nice to them and they do not have any problems with any of the staff members, nor have they witnessed staff speak to anyone in an inappropriate manner. During LPA’s record review it was discovered that C1 does have emotional outbursts however since being at this facility they have decreased as reported by staff in daily behavioral logs. Therefore, based on record reviews, observations and interviews this allegation is deemed Unsubstantiated at this time.

Allegation #2 Staff does not assist with clients showering needs.

It is alleged that staff do not assist with clients showering needs. Regarding this allegation it is reported that C1 is not able to shower correctly, and that staff do not assist C1 with showring needs. Interviews with staff and Administrator revealed that staff have offered numerous times to assist C1 so that C1 can shower properly, however C1 refuses the assistance claiming that there is no need for assistance. Administrator indicated that C1 is prompted to groom and staff follows in prompting but C1 at times does not comply. Interview with C1 revealed that C1 refuses the assistance offered by staff because C1 does not need the assistance.

Continued on LIC9099-C

LPA reviewed Program Plan where grooming needs are addressed and according to staff and clients, is offered, but declined. LPA also reviewed C1’s IPP and Medical Assessment and found that C1 does not require assistance with grooming, however C1 does require prompting, since C1 has expressed that they are able to and want to be independent and take care of grooming needs on their own. Based on record review, observations and interviews this allegation is deemed Unsubstantiated at this time.

Allegation #3 Staff do not take clients out on outings.

It is alleged that staff do not take clients out on outings. Regarding this allegation it is reported that staff do not take clients to restaurants or on walks. Interview with Administrator revealed that clients are taken out to restaurants when clients have funds to spend, otherwise the facility provides three (3) meals a day and snacks. Going out to restaurants is limited to when clients have funds to spend so that clients are not left out. Administrator stated that when C1 does not have funds, then C1 will borrow funds from staff to purchase outside food and snacks. Interview with C1 corroborated what Administrator stated saying that C1 is taken out on outings and that outside food is purchased for C1 even when C1 does not have funds. Interview with C2 and C3 revealed that staff take clients on outings all the time to include restaurants and theme parks. Interview with S1 and S2 revealed that clients are taken out often either as a group or individually to restaurants, shopping and other activities. During the visit Administrator and C1 had a conversation regarding going to a restaurant once P&I funds were picked up later in the day. LPA reviewed P&I records to reflect numerous times that meals were purchased at different restaurants, and C1 confirmed that these purchases were done by C1 at the various restaurants. Therefore, based on record reviews and interviews this allegation is deemed Unsubstantiated at this time.

Continued on LIC9099-C

It is alleged that staff do not accord client privacy. Regarding this allegation it is reported that staff did not allow C1 to have privacy while being interviewed by an outside agency. Interview with Administrator revealed that the interview was being held in the living room where staff were performing their duties, staff was not purposely trying to listen to the interview. Interview with S1 revealed that during this particular incident, the outside agency did not ask C1 where they wanted to be interviewed to their knowledge. According to S1 the interview just happened in the living room and then the meeting was moved to C1’s room. C1’s room was available for privacy but both the interviewer and C1 did not chose to go into C1’s room initially. Interview with C1 revealed that C1 chose the living room for the interview as opposed to C1’s room. Furthermore, C1 revealed that privacy is provided by staff and C1 does not feel like privacy is violated by staff. Interview with C2 and C3 revealed that they do not have any issues with staff providing privacy and that if they want privacy, the staff always respect their requests. Based on interviews and observations, this allegation is deemed Unsubstantiated at this time.

No citations issued. Exit interview conducted. Copy of report provided to Administrator.