{"report_id":235,"form_id":"23","user_id":183,"organization_id":10,"question_id":"98","question_type":"Free_Text","text_answer":"The quality assurance staff and operations director were debriefed on 12\/17\/2020. The DSPs who were working at the time of this incident are no longer employed.\r\nOne of the residents ran out of medication several days early and staff noticed pills were missing. The house was searched until the empty packaging was discovered in a resident\u2019s room. Quality assurance staff conducted an internal investigation where the person served (VA) admitted taking the medications. The residential facility was not able to determine when the medications went missing and therefore did not know what staff was working when the theft occurred. All staff working at the residential facility during the general time frame of the theft are no longer employed by the provider.\r\nMedication is stored in bins in a pantry located in the kitchen under lock and key. There is a key ring kept in a drawer for staff. The investigation revealed the key is not always used and there were times staff not sure where the key was or if the pantry is always locked. The facility provides medication management training for new staff at the time of hire and annually reviews medication policy and procedures with all staff on site during a team meetings.\r\nTypically the house is double staffed, two people on each shift. The majority of shifts had only one staff working. During the pandemic, there were times temporary staff was were used for some shifts. The operations director and quality assurance staff also filled in to cover direct care shifts.","created_by":183,"updated_by":183,"updated_at":"5\/25\/2021 10:53:06 am","created_at":"5\/25\/2021 10:53:06 am","id":16620}