Complaint Investigation Report

Staff stated they did not notice any black eye or a red spot on C1’s right eye while getting client ready for the day program. Staff stated they saw a red spot on C1’s eye when C1 was brought back to the facility. Staff stated they observed a red spot, which looked like a popped blood vessel in the right eye, and some discoloration under the eye. However, staff did not observe a black eye as indicated. LPA interviewed two (2) day program personnel. Program staff stated that they saw darkness around C1’s right eye and a red spot which looked like a blood clot. Both facility staff and day program staff did not observe C1’s eye worsening over the following days. Per the record review, C1 was seen by the physician on 10/28/25, and the doctor’s note indicated that C1 had a subconjunctival hemorrhage of the right eye with no trauma. LPA interviewed both clients. Clients stated that the facility staff take care of them and never hit them.

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.

An exit interview was conducted. A copy of this report, along with the appeal rights, was provided to the staff.