Complaint Investigation Report

Allegation: Staff did not prevent resident from engaging in inappropriate behaviors

W1 reported that W1 witnessed C1 one night screaming and banging so hard the house was shaking, then it got quiet and started again W1 stated C1 behaviors should be addressed. W1 also stated a week prior to the 3 rd or 4 th of March at about 11pm W1 witnessed a light and C1 was naked and trying to get out of the room and was banging and was trying to take down the curtains and blinds all night long. W1 stated someone called the police because the client attached a staff. W1 stated that if staff paid attention to the client C1 would not have screamed all night.

Interview with C2 revealed that revealed that C1 would hit and bite C2 and take C2 things from C2’s room.

Interview with C3 revealed that C1 attacked staff and the police was called and C1 punched C3 in the stomach. Interview with Administrator revealed that C1 has been having behaviors and C1 medication had been changed and is changed every few months.

Interview with Administrator revealed that C1 needs a higher level of care because medication management is no longer working C1 medication changed every 2 months and C1 is getting worse. Administrator C1 has been living in the facility 9 years, C1 has been knocking holes in the walls, and smears feces on the walls among other abusive behaviors towards the other clients such as hitting and biting. Administrator also stated that C1 was having behaviors at program and the police was called and C1 attacked a police officer, and it took 4 police officers to restrain C1. Administrator stated that the clients are afraid of C1 when C1 has behaviors. Administrator also stated at this point C1 was admitted to the hospital. Therefore, this allegation is unsubstantiated.

Allegation: Staff are yelling at residents

W1 reported hearing staff yelling at clients in the facility. W1 stated C1 was trying to get out of the room and W1 heard staff yelling at C1.

Interview with C2 revealed that staff has not yelled at C2 and never witnessed staff yelling at anyone.

Interview with C3 revealed that staff has not yelled at C3.

Interview with Administrator revealed that Staff dose not yell at the clients, staff and clients are mild mannered. Administrator stated yelling at the clients would be a violation of clients personal rights. Therefore, this allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that Staff are not meeting client's personal care needs is unsubstantiated.

Exit interview conducted and a copy of this report provided.