Complaint Investigation Report

Allegation: Staff do not prevent resident from self-harming.

The details of the complaint alleged the staff at this facility do not prevent clients from self-harming. It is reported it has been observed that one client is hurting thyself and the care staff are not doing anything to prevent it. There was no further information associated with this allegation.

On 11/18/24, between 12:45 pm – 01:30 pm, the Department interviewed (2) out of (4) clients who were unable to validate this claim. (C1-C2) claimed that their care and supervision were adequate, and they were never left alone unattended. ( C3) was present at the facility and interviewed, but (C3) was unable to hold a conversation due to his disability. (C4) was not available for an interview.

On 11/18/24, between 12:00 pm – 3:00 pm, the Department interviewed (3) out of (3) staff. who claimed this accusation is untrue. (S1-S3) are care staff who work various shifts throughout the week stated no client is neglected of care or has experience from lack of supervision. Client #1 (C1) has a history self injurious behavior, according to Harbor Regional Center Individual Person-Centered Plan (dated: 08/08/24). (C1) attends daycare program activities throughout the week and does not return until 1pm or 2pm along with client # 3 (C3). Client #4 (C4) returns from the day program after 3 pm. While client #2 (C2) remained at the facility being cared for and supervised daily by two Direct Support Professional (DSP) staff #2 -#3 (S2-S3). According to (S1-S2), the routine duties being performed while on duties consisted of assisting clients with daily activities, such as bathing, grooming, dressing, housekeeping, preparation of meals, and supervision. (S1) stated although (C1) does not require one on one care, (C1) is monitored 24-hour basis by (DSP) staff. (C1’s) behaviors are being controlled by a combination of behavioral interventions and medications. The staff have been able to reduce and redirected (C1’s) harmful behaviors with routine household chores, regular training on activities of daily living and increased social and recreational activities. (S1) reported there is never a shortage of staff. There is always two (2) Direct Support Provider (DSP) staff each shift monitoring all four (4) clients daily.

On 11/18/24 between 11:45 am – 12:30 pm, the Department interviewed (3) out of (3) witnesses who were unable to support this claim. (W1-W3) are aware of (C1’s) history of self injurious behaviors a plan is being followed by the (DSP) Direct Support Providers appropriately with 24 care and supervision. (Evaluation Report continues LIC 9099-C)