Complaint Investigation Report

The investigation revealed the following:

In regards to the allegation: " Staff engaged in a physical altercation with resident." It is alleged that a staff member began a physical altercation with C1 by hitting and throwing a plate at C1. It is also alleged that C1 was injured and bled from the right ear and altercation escalated when other staff members restrained C1. (4) out of (4) staff interviewed all denied the allegation and indicated that they have never engaged nor have they observed other staff members engaged in a physical altercation with clients. S1-S3 who were present during the incident stated that C1 was upset because a house mate provoked him and felt that the staff sided with the other house mate. This led C1 to become agitated and started to scream and act aggressively, including throwing food at S3, kicking a filing cabinet, and banging on C1's bedroom door. S1 and S3 attempted to de-escalate the situation through verbal redirection and gave C1 space. However, C1 continued to act aggressively by flipping the dining table, spitting on staff, and tried to charge at S1 and S3. S1 stated that physical intervention is their last resort, however due to the situation, S1 and S3, who are CPI trained, used a CPI hold on C1 to ensure safety as C1 was becoming a danger to himself and others. As a result, C1 damaged his bedroom door and scratched his ear. After C1 calmed down, S1 checked C1 for injuries and found only a scratch on C1's ear. The staff provided first aid, without the need for hospitalization. LPA's review of C1's records revealed that C1 has a history of challenging behaviors including verbal and physical aggression/threats, emotional outbursts, fabricating stories, self-injurious behaviors, and property destruction. Reviewed records also noted that S1 and S3 are trained in CPI, with certifications valid until Aug 2026 and Dec 2026, respectively. Therefore there was insufficient evidence to corroborate with this allegation.

Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.

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.

Exit interview conducted and a copy of this report was provided to the Administrator, Ashley Ballinger.