Complaint Investigation Report

On October 2025, the reporting party (RP) stated that R1 reported a staff, S1, had punched R1 in the head with closed fist two times and grabbed the neck of R1's shirt and pulled R1. R1 further reported that S1 yelled at R1 and threatened to "beat him up".

The administrator (ADM) stated that one of the staff reported to her that a police officer came due to the reported abuse. S1 was interviewed by the police officer and asked if R1 went out and fell outside the facility and interviewed S1 regarding the alleged abuse which S1 denied. ADM submitted a copy of SOC341 to the Department. SOC341 also indicated that on 9/22/25, R1 was 5150'd due to pulling of the hair of one of the staff.

S1 denied the allegation. He stated the police officer came and he was not aware there's a complaint by R1 against him. He was asked if R1 went out that day and he told the police officer he does not know, because the residents can leave the facility. There were times when R1 left the facility at night and tell other residents when he leaves and S1 did room check. He was also asked if he ever hit R1 and he said he never did and that he's here to assist the residents. The other staff interviewed stated not observing S1 being physically and/or verbally abusive to R1. Some of these staff stated it is them who are at times hit by residents.

The 4 residents (R2, R3, R4 and R5) stated not observing staff including S1 being physically and verbally abusive to R1. They stated S1 is a good staff.

Review of 3 Unusual Incident Reports (UIRs) for incidents that happened on October 2025 showed R1 had 2 unwitnessed falls and an episode of seizure where R1 was sent out to the hospital. The hospital After Visit Summaries confirmed the incidents and one of these documents showed R1 sustained laceration of the scalp

Based information gathered and due to R1 was no longer at the facility when LPA began the investigation, the above allegations are unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiency cited. Exit interview conducted and copy of this report provided.