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32 | Facility staff additionally stated that the family supplied their own diapers, wipes, creams, and formula, and that physician dietary instructions were documented and followed according to parent/authorized representative and physician directives. Documentation reviewed included physician notes directing formula preparation requirements, parental formula substitution forms, and feeding logs reflecting bottle offerings, refusals, solid food intake, and formula tracking.
Facility staff stated that disputed fees were consistent with updated pricing structures and standard policy, including diaper-related fees, and that all families were subject to revised admission agreements and pricing changes. Facility staff stated that admission and enrollment agreements were provided, maintained, and updated throughout enrollment.
Documentation reviewed confirmed the presence of recurring diaper rash concerns, physician dietary instructions, updated fee policies, and enrollment records; however, conflicting information remained regarding the source of diaper rash, adequacy of dietary implementation, and timing of agreement communication.
Due to conflicting information, it is determined there was not sufficient information evident to support the allegation that facility staff neglected the infant child resulting in diaper rash, failed to follow physician-modified dietary instructions, charged fees not listed in the admission agreement, or failed to provide an admission agreement to the authorized representative in a timely manner.
Based on information obtained during interviews and records reviewed, it is determined that the allegation could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.
An exit interview was conducted and report was reviewed with Director Claudia Gonzalez. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. |