Regarding this allegation, it is reported that a staff member was left alone with a client and had to provide medication, however the staff member did not have proper training and a medication error occurred where a client was given the wrong medication. It is further reported that when the incident was mentioned it was simply brushed off. LPA interviewed four (4) out of four (4) clients and it was discovered that they have no knowledge or understanding of being given the wrong medication. LPA interviewed two (2) staff that denied the allegation stating that they have not given incorrect medication to clients, nor have they witnessed any clients to have been given the wrong medication. Both staff present stated that they have received training on how to dispense medication as well as having completed the required hours of shadowing and completed their Direct Support Staff (DSP) training. LPA interviewed the Administrator who denied the allegation, stating that all staff have completed the required initial hours of training in dispensing medication, as well as additional DSP training required by North Los Angeles Regional Center that includes medication training. Additionally, the Administrator showed LPA that initial and ongoing training has all been signed by the employees at the time of completion, as well as monthly ongoing training. LPA reviewed Medication Administration Records (MAR) for all clients and could not locate any errors, any notations of missed medication or notations of medication given in error. LPA reviewed staff records and all staff, including previous staff, have signed and dated their own training, specifically training regarding medication. LPA reviewed DSP training certificates that confirm that staff have completed training required by NLARC. LPA reviewed facility daily notes for the last thirty (30) days and could not locate any documentation of medication errors being notated. LPA reviewed all medication present for the clients, and all medication was accounted for. Based on interviews, observations and record reviews this allegation is deemed unsubstantiated.

Continued on LIC9099-C

Regarding this allegation it is reported that staff do not ensure that clients have enough food to eat, leaving clients hungry. It is also reported that facility is left without food for 1 or 2 days before it is replenished and that the meals provided are of low quality. Additionally, it is reported that clients are not provided with lunch and are only given breakfast and dinner. LPA interviewed four (4) out of four (4) clients and it was revealed that they are not left hungry and that the food provided is good. The clients stated that they eat something different every day, and that they do eat lunch at the facility, as well as snacks. Clients also stated that they are actively involved in preparing the menu and that their input is taken into account. LPA interviewed two (2) staff, and they stated that clients are given three (3) meals a day and snacks in between. Sometimes the clients will refuse the meals, and an alternative is offered. Staff denied that clients are left hungry or that lunch is not provided, adding that even when they go on outings, the staff either pack a lunch or they purchase meals. LPA interviewed Administrator that states that groceries are purchased on a weekly basis but if the food needs to be replenished then they purchase additional food as needed. Administrator denies the allegation stating that meals provided are with client input as this makes putting the menu together easier and avoids food waste. Administrator added that when clients and staff go on outings or when clients attend day program, the staff will prepare lunches to go, or the staff will purchase food for them when they are in the community, denying that clients are left hungry. LPA reviewed the facility menu and compared it to the food currently in stock and observed that the meals planned for the week are present, as well as food to prepare alternative meals. The menu offered a balance of fresh fruits and vegetables as well as a variety of meats. LPA observed there to be enough snacks to provide clients with in between meals. LPA also reviewed client physicians reports and did not find that any of the clients have had any significant weight loss. Therefore, based on interviews, observations and record reviews, this allegation is deemed unsubstantiated.

Continued on LIC9099-C

It is reported that Client #1 (C1) has requested to be provided with their funds to purchase personal items, however staff ignore C1 or pretend not to hear C1. LPA interviewed C1 via telephone who denied this allegation confirming that they receive their funds upon request. LPA interviewed three (3) other clients who also denied this allegation stating that they do not have any concern regarding their funds, nor have they been ignored when requesting their funds. LPA interviewed two (2) staff who stated that at no point are clients denied access to their money nor have they been ignored. LPA interviewed Administrator who denied this allegation stating that requests for funds are not ignored and that all requests for funds are honored. Administrator also stated that clients are never ignored, for any reason. LPA reviewed client fund records and could not locate any discrepancies, missing funds or any notations that would cause concerns. LPA reviewed cash with Administrator and cash available matched funds recorded. Based on interviews, reviews and observations this allegation is deemed unsubstantiated.

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