You are on page 1of 3

DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

Summary of Investigation
COMMUNITY PROVIDER

Case: E1305039A Waiver: Self-Determination DIDD Investigator: Robin Bailey

Date: June 7, 2013

I. Initial Allegation(s):

The person served visited a home for respite over the preceding weekend.
The person served has Diabetes and his mother ensured that his medications
and meter (for his blood sugar) were taken to the home. Instructions
regarding his diet and other needs were also provided to staff when the
person served arrived on 5/24/13. The log for the person serveds blood
sugar, which is to be checked twice daily, showed the highest reading at
under 300. Readings are stored on the meter and the meter was checked on
5/27/13 when the person served returned home. There were readings on
5/24/13 that were above 300. A nurse should be contacted or the person
served should be taken to the ER if his blood sugar is above 300 because he
then requires a sliding scale of insulin which staff cannot administer.

II. Conclusion(s):

The preponderance of the evidence does not support the allegation that the
person served was neglected, by A.C. and/or I.H. in that his blood sugar was
checked twice daily and did not reflect readings over 300. A violation of the
DIDD Provider Manual, Chapter 18, 18.3.A.2, for Community Providers, is not
substantiated.

III. Recommendation(s):

A. For substantiated investigations, it is recommended that Agency


Management develop a response and plan of correction.
1. As relevant to the incident investigated, a plan of correction shall address
the following:
a. What has been done to safeguard the person (i.e. staff removed,
equipment repaired, accounting procedures for property updated, etc);
b. What procedures, if any, have been developed and implemented for
protecting people from further abuse, neglect or exploitation; and
c. If the incident was reported to DIDD in an untimely manner (as
identified in this final investigation report, section IV.B.) what has been
done to address late reporting.
2. The Agency Management response to substantiated investigations shall
consist of:
CONFIDENTIAL-The information contained herein is property of TN Department of Intellectual and
Developmental Disabilities, and is not to be disseminated or duplicated.

Page 1
a. The Plan of Correction;
b. Copies of disciplinary actions that were a result of the investigative
findings; and
c. Verification that the implicated staff person(s) were notified of the
outcome of the investigation.
3. It is recommended Agency Management 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
Investigations Office forwarded the report to the Provider via email.
B. For unsubstantiated investigations, it is recommended that Agency
Management develop a response (do not submit to DIDD) to include:
1. Verification that the implicated staff person(s) was notified of the outcome
of the investigation;
2. If the incident was reported to DIDD in an untimely manner (as identified in
this final investigation report, section IV.B.) what has been done to
address late reporting; and
3. Verification that all incidental information was addressed.

NOTE: Incidental Information for Provider Follow-up

During the course of this investigation it was noted:

The agency provided excellent assistance with setting up interviews and


providing documentation

Per the DIDD Provider Manual, Chapter 18, 18.4.D.4, for Community Providers,
the summary of this investigation should be discussed with the involved service
recipient(s) within fifteen (15) business days of the receipt of the report. If a legal
representative has been appointed, they 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.

Service Recipient or Legal Representative:

Signature Date & Time

Printed Name

Witness:

Signature Date & Time


Printed Name

You might also like