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32 | Staff denied the claim. Clients reported they were permitted to remain in the facility if they chose and were not forced to leave. It was also revealed that two (2) clients were employed and typically away during the day; however, there were no issues if they returned home early. Staff denied locking clients out of the facility.
Based on the information obtained through interviews, and with no witnesses who observed clients being denied access to the home, there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time.
Allegation #4: It was alleged staff mismanaged a resident’s medication without the responsible party’s consent. Prior to the visit, LPA made several attempts to contact witnesses identified in the complaint; however, those attempts were unsuccessful. On 04/22/2025, during the initial complaint visit from 9:00 a.m. to 12:30 p.m., LPA conducted interviews with two (2) staff members, one (1) client, reviewed facility documents, and conducted a physical plant inspection. On 11/19/2025, at various times throughout the day, LPA conducted additional interviews with individuals pertinent to the allegation. During today’s visit, from 10am to 11am, LPA conducted additional interviews staff. After reviewing the allegation, no information or documentation was provided to LPA supporting the claim of medication mismanagement. LPA attempted to obtain evidence or documentation from the reporting party but was not successful. Although it was reported that staff did not refill C1’s medication in a timely manner, resulting in C1 missing doses for several days, LPA found no evidence to support this claim. Review of C1’s medication records revealed that medications were filled monthly by the pharmacy, with no delays or disruptions noted. Clients interviewed reported no issues with their medications and stated staff administer them daily. Staff interviewed also denied mismanaging any resident’s medication. Therefore, based on record review and interviews, the allegation is found to be Unsubstantiated at this time.
Allegation #5: It was alleged staff do not accord residents privacy. Prior to the visit, LPA made several attempts to contact witnesses identified in the complaint; however, those attempts were unsuccessful. On 04/22/2025, during the initial complaint visit from 9:00 a.m. to 12:30 p.m., LPA conducted interviews with two (2) staff members, one (1) client, and conducted a physical plant inspection. On 11/19/2025, at various times throughout the day, LPA conducted additional interviews with individuals pertinent to the allegation.
(Cont'd LIC9099C)
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