Complaint Investigation Report

informed about the incident immediately. C1 and C2 verified that staff did report the incident to the Administrator. No concerns were expressed by other clients in care regarding the allegation that staff failed to follow reporting protocols. The administrator confirmed the incident was reported and the incident report was sent to the Licensing Office. A review of the facility files and CCLD records confirms that an incident, of this description was submitted and reviewed by CCL on 04/02/25. Based on the information received, and a review of the facility file, the licensee met their requirements in reporting Incident as required. Therefore, this allegation is deemed UNSUBSTANTIATED at this time.

Due to neglect in supervision, a client was physically abused by another client

It was alleged that C1 hit client C2 multiple times in the head and twisted their fingers. During interviews, S1 and S2 denied not supervising clients C1 and C2 or any other client in care. Staff revealed that C1 and C2 were having a verbal argument. S1 and S2 intervene to redirect C2 and firmly told them not to hit C1. While staff members S1 and S2 were engaged in de-escalating the argument, C2 who appeared unresponsive to staff directives, suddenly attacked C1. S1 indicated that they were covering/protecting C1 with their body to prevent them from getting hit. C2 has never physically attacked any client or resident in the facility before.

An interview with C1 revealed that they were attacked by C2 while being supervised by staff. Staff intervened but C1 was not listening. C2 verified physically attacking C1 and confirmed staff immediately intervene. A review of records, including internal incident reports, verified the information revealed from interviews.

Based on interviews, record review, and LPA observation, it was concluded that although C1 was physically abused by C2, staff immediately intervene and took appropriate steps to protect C1 from physical abuse. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No health and safety hazards were noted during this visit.

An exit interview was conducted and a copy of report was provided.