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 attacked 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.