Complaint Investigation Report

Psychological Evaluation (Dated: 04/19/2002, 11/14/2023), Personnel Records (Dated: 06/27/2022, 09/05/2021), Staff Crisis Prevention Certificates (Dated:07/29/2026, 07/29/2026, 02/18/2026, 07/29/2026, 07/29/2026), Staff In-Service Training: Deescalation Techniques, Crisis Prevention, Strategies for Managing Challenging Behavior, Supervision for Individuals Inside & Outside (Dated: 01/01/2024-12/31/2025), and Special Incident Reports (Dated: 02/05/2026, 02/13/2026) from the facility.

The investigation revealed the following : Allegation #1-Staff hit resident.

The details of the complaint alleged that the facility staff hit and punched a client. It was reported that client was hit but client could not verify what date the incident occurred. On 2/18/2026, from 10:00am-3:00pm, the department interviewed staff (S1-S5) and clients (C1-C3) regarding the allegation. 5 of 5 staff denied the allegation that Staff hit resident. All staff stated that they have never hit any of the clients at the facility. Staff (S1) stated that there was a recent incident where one of the staff was charging their electronics and a client (C1) came and removed the charger in order to charge their own electronics. When asked why C1 did that, C1 became agitated and charged towards the staff in an attempt to attack the staff. The staff quickly moved away, stated (S1) and this seemed to further aggravate C1. S1 stated that C1 said that they were going to make sure that the staff gets into trouble. But C1 did not hit the staff, nor did the staff hit C1, according to (S1).

The department interviewed clients (C1-C3) about the allegation and 3 of 3 clients that were interviewed stated that they have never been hit by any of the staff and are happy with the care and supervision the staff provides.

The department reviewed Special Incident Reports (Dated: 02/05/2026, 02/13/202), Physician Report LIC 602A (Dated: 01/21/2026, 02/27/2025, 01/28/2026, 01/14/2026), Appraisals Needs/Services Plan (Dated: 03/03/2022), and Psychological Evaluation (Dated: 04/19/2002, 11/14/2023) and did not find any evidence to corroborate the allegation of abuse.

The department also reviewed staff Personnel Records (Dated: 06/27/2022, 09/05/2021), Staff Crisis Prevention Certificates (Dated:07/29/2026, 07/29/2026, 02/18/2026, 07/29/2026, 07/29/2026), Staff In-Service Training: Deescalation Techniques, Crisis Prevention, Strategies for Managing Challenging Behavior, Supervision for Individuals Inside & Outside (Dated: 01/01/2024-12/31/2025), and observed that the staff has the required training to work with clients with behavioral issues in the facility.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff hit resident. 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 .