Post on 21-Jan-2020
transcript
Residential Care Services Investigation Summary Report
Provider/Facility: AWA and Malick Adult Family HomeLLC (1133622)
Intake ID(s): 3596436
License/Cert. #: AF753767Investigator: Wylie, Megan Region/Unit: RCS Region 2/Unit B Investigation
Date(s):01/08/201901/18/2019
through
Complainant Contact Date(s):Allegations:A named resident left the home and failed to return when expected. When the resident did return he had a wound on the face.
Investigation Methods:Sample: Named Resident, 1
unnamed resident, 2 staffObservations: Staff to resident
interactions,environment, care andservices, meals, residentto resident interactions
Interviews: Named resident, 2unnamed residents,Provider and 2caregivers, family.
Record Reviews: Named resident,unnamed resident,Provider, 2 Caregivers,Incident log, incidentinvestigation.
Allegation Summary:A named resident failed to return to the home when expected. When the resident did come home there was a wound on theresident's nose. The Provider made the appropriate notifications in a timely manner. The named resident's negotiated care plandid not address the named residents behaviors including the elopements.
Unalleged Violation(s):This investigation was done with the full inspection dated 01/08/19
Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
388-76-10355 (7)(a)(b)(c) - Negotiated Care Plan to include behaviors and interventions to reduce tension, agitation and problembehaviors.
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Residential Care Services Investigation Summary Report
Provider/Facility: AWA and Malick Adult Family HomeLLC (1133622)
Intake ID(s): 3603898
License/Cert. #: AF753767Investigator: Wylie, Megan Region/Unit: RCS Region 2/Unit B Investigation
Date(s):01/08/201901/18/2019
through
Complainant Contact Date(s):Allegations:A named resident left the home and failed to return when expected.
Investigation Methods:Sample: Named resident, 1
unnamed resident, 2 staffObservations: staff to resident
interactions, resident toresident interactions,environment, meals, careand services
Interviews: Named resident, Namedresident's representative,Provider, 2 caregivers.
Record Reviews: Named Resident,unnamed resident,provider, 2 caregivers,incident log, incidentinvestigation.
Allegation Summary:A named resident failed to return to the home when expected. The resident returned home and the Provider made theappropriate notifications, but failed to update the Negotiated Care Plan to include interventions and safety measures.
Unalleged Violation(s):This investigation was completed with the full inspection dated 01/08/19
Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
388-76-10355 (7)(a)(b)(c) - Negotiated Care Plan to include behaviors and interventions to reduce tension, agitation and problembehaviors.
Page 1 of 1
This
docu
men
t was
pre
pare
d by
Res
iden
tial C
are
Serv
ices
for t
he L
ocat
or w
ebsit
e.