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32 | LPA additionally reviewed the medication and medication administration records for the five clients that were in care at the time the complaint was received. However, one client was not receiving assistance with their medication, and therefore, the facility was only managing medication for four clients. LPA observed that the facility was providing medications in accordance to the prescribed orders for the four clients as per regulations. LPA also observed that each active medication order on file for the four clients were physically present at the facility. Additionally, LPA observed that each medication had a valid prescription and that each medication were being kept in its' original container. LPA did not observe any errors or discrepancies in the medication audit for the four clients.
Regarding the allegation, staff are not able to provide adequate care/supervision due to lack of staffing, the following has been concluded: LPA reviewed the facility's staffing schedule from April 1, to May 6, 2026. LPA observed that the facility had a minimum of two to three direct care staff present at the facility during program hours, with additional clinical and leadership staff also being present. LPA observed that the facility also has a minimum of one to two direct care staff present at the facility overnight, with additional staff being on call if needed. LPA conducted three client interviews. Three out of the three clients interviewed stated that they believe there is sufficient staffing at the facility and that all of their needs were being met. LPA conducted five staff interviews. Five out of the five staff interviewed also denied the allegation and stated that there is currently sufficient staffing to meet the care of the clients.
Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the two allegations above are deemed UNSUBSTANTIATED. An exit interview was conducted with Residential Supervisor Ryan Reifsnyder and a copy of the report was provided at time of visit. |