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Summary of Investigation
Community Provider
I. Initial Allegation(s):
The person served was in his room on 2/18/12 and was discovered
unresponsive around 2:30 PM. Staff started CPR and he was transported to
the hospital where he was pronounced dead. This death was unexpected and
there is not an explanation for why the person served passed away.
II. Conclusion(s):
The preponderance of the evidence does not support the allegation that the
person served died due to abuse or neglect. A violation of the DIDD Provider
Manual, Chapter 18, 18.2.a.2, for Community Providers, is not substantiated.
III. Recommendation(s):
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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.
None
Per the DIDD Provider Manual, Chapter 18, 18.3.d.4, for Community Providers,
the summary of this investigation should be discussed with the involved service
recipient(s) within five (5) 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.
Printed Name
Witness:
Printed Name