Complaint Investigation Report

During the course of investigation, records review revealed one of C1’s historical behavior is self injurious behavior, where client tries to hurt herself, IPP plan also stated that C1 have inability to control movements.

On June 03, 2021, staff found skin discoloration on C1’s back, staff notified C1’s primary physician. Primary physician ordered staff to send C1 to the hospital for further evaluation. X-ray result revealed there is no fracture noted or any broken bones. Primary physician then ordered ointment to address C1’s bruise on her back. Although interviews and documents revealed that on June 3, 2021, C1 had bruise on her back, LPA do not have enough evidence that injury was sustained from staff abuse.

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 is UNSUBSTANTIATED.

Exit interview conducted Desiree Hufalar. A copy of this report provided.