Complaint Investigation Report

Interviews with staff, witnesses and record review revealed that C1 has self harming behaviors which increases when C1 is in pain.

Interview with W1 revealed that C1 has self harming behaviors and has recently been more self harming then normal due to pain. W1 also stated that C1 had an issue on the Day Program bus which caused bruising. Interview with W2 revealed that C1 has self harming behaviors. Interview with staff S2 and S3 also revealed that C1 has self harming behaviors and that C1 gets agitated and has recently been having more behaviors then normal. Interview with S1 revealed that C1 is easy going, has been living in the facility 15 years, has always had self harming behaviors but since January 2023 C1 has been in dental pain and has been exhibiting more self harming behaviors. S1 stated that C1 had a reaction to an IV when she was in the hospital for a week in January and is currently being treated by the wound clinic. S1 also stated that C1 got C1 right arm caught in the Day Programs van door while they were dropping C1 off at the facility, The Day Program called for emergency services and C1 was transported to the hospital.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview and copy of report provided.