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Summary of Investigation
COMMUNITY PROVIDER
Case Number: E1409007 Waiver: Main Waiver DIDD Investigator: Robin Bailey
Agency Responsible: Orange Grove Center
Date: 9/16/2014
I. Initial Allegation(s):
It was reported that the person supported works at the Chattanooga Airport. The
person supported has a one on one staff who provides for her safety. The staff
I B working with the person supported on 8/28/14 was alleged to have
been sleeping while on duty. There is a video revealing B sitting in a
chair asleep while she was supposed to be assisting the person supported. The
person supported is at risk for elopement, safety issues and being exploited by
strangers. Based on this information, DIDD will investigate the allegation of
neglect.
II. Conclusion(s):
There is a preponderance of the evidence to support that staff B was
sleeping/less than alert while on duty as the one on one staff for the person
supported on 8/28/14. The allegation of neglect is substantiated.
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c. Verification that the staff person(s) investigated was notified of the
outcome of the investigation.
3. It is recommended that the Provider or Private ICF/IID email the response
and plan of correction to DIDDINVPOC.East@tn.gov within fourteen (14)
calendar days from the release of this report. The release date is the day
the Office of Investigations forwarded the report to the Provider via email.
4. A response to any incidental findings noted by the investigator shall be
included.
B. For unsubstantiated investigations, it is recommended that the Provider or
Private ICF/IID develop a response (do not submit to DIDD) to include:
1. Verification that the staff person(s) investigated was notified of the
outcome of the investigation;
2. If the incident was not reported to DIDD in a timely manner (as noted in
this final investigation report, section IV.B.), what has been done to
address late reporting; and
3. Verification that all incidental findings were addressed.
V. Incidental Findings:
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Per the DIDD Provider Manual, Chapter 7, 7.4.8.b, for Community Providers and Private
ICF/IID or the Protection from Harm ICFs/IID Policy 100.1.1., VI.K.8 for DIDD ICF/IID
Facilities, the summary of this investigation should be discussed with the person(s)
supported within fifteen (15) business days of the receipt of the report. If a legal
representative has been appointed, that person should be invited to participate in this
discussion. The space below has been provided for your convenience as a means by
which for you to document the fulfillment of this requirement.
Printed Name
Witness:
Printed Name