Violation Details: 00112635-AP-087381

Date
11/3/2020
Report number
00112635-AP-087381
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Alleged Perpetrator 2 (AP2) applied Alleged Victim's (AV) medicated cream in an inappropriate sexual manner when AP2 inserted his/her finger into AV's private part which caused AV pain and discomfort. An investigation determined that AP2 performed a task on AV that is to be completed by a medication technician and not a staff of his/her job classification. AP2's action is considered sexual abuse. The facility failed to provide a safe medication administration system for AV which resulted in risk of serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01595 $1500.00 fine assessed