Complaint Investigation Report

Regarding Allegation: Staff caused injury(ries) to resident. It was alleged that staff hit the client and caused an injuries to client.

Interviewed Administrator and staff denied the allegation: Staff at the facility didn't hit the clients or caused injury to the clients and didn't witness that other staff hit or cause injury to clients. Interviewed Administrator and staff stated that C1 has self injurious behaviors, and a history of making false allegations. Review of C1's file / IPP, indicates that C1 has self injurious behaviors and a history of making false allegations.

Staff interviewed stated that C1 scratching thyself, throwing thyself into wall and banging their head on the wall. Administrator stated that last episode was on 03/02/25. C1 kicked walls with feet and left toe discolored and marked. LPA observed facility notes, body check chart which documented marks or injuries observed by staff. Administrator had provided an incident report of 03/02/25 for C1 where C1 hit the walls with their back and feet, putting holes in the walls. Interviewed C1 and C2 stated that they are okay, and staff didn't hit them. Interviewed C2 stated they afraid of C1 and C4, because C1 and C4 are aggressive and screaming and yelling a lot. Interviewed C1 and C2 stated don’t know individual who mentioned in the complaint report as staff. Upon review of the staff roster LPA observed the name that was given as staff on the complaint report was not on the Personnel Report (LIC500). Interviewed Administrator confirmed and verified that the individual mentioned in the complaint report as facility staff has not been personnel of the facility or is current employee.

Based on file reviews, observation and interviews, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED

An exit interview was conducted, and a copy of this report was provided to Administrator