Facility Evaluation Report

On 10/09/2023 at 12:15pm,, Licensing Program Analyst (LPA) conducted case management visit as a follow-up to a substantiated allegations of physical abuse/improper restraints and personal rights. LPA met with Adam Olives, Administrator and explained the purpose of the visit.

On July 5, 2023, the Department concluded a complaint investigation and substantiated an allegation that staff are mishandling a client (C1) while in restraints. It was also substantiated that staff are mistreating C1 while in care. This complaint was received on November 15, 2022.

The Department determined at the conclusion of the complaint investigation that the facility had used inappropriate restraint techniques that may have caused physical injury to the client. Per after summary visit from the emergency department dated October 23, 2022, C1 had sustained an injury to his sternum and the cause of the injury could have occurred from direct force to the sternum or a flexing (bending) injury. It was also determined based on witnesses’ statements from the facility that staff S3 and S4 used inappropriate restraint techniques that may have caused physical injury and/or emotional distress.