Complaint Investigation Report

A review of facility documents revealed that the mark was observed by staff and was noted in R1's daily notes. On 10/10/22, R1's doctor was notified of the bruise and was seen the following day of 10/11/22. A review of R1's most recent Individualized Program Plan, indicated that R1 does not require a one on one staff. The LPA was also able to review the staffing schedule, which indicated that there is always at least 2 staff available during the day and night.

Based on interviews and a review of facility documents, it is clear that R1 did receive an unexplained injury, however it was not due to staff negligence, therefore deeming this allegation UNSUBSTANTIATED.

Exit interview conducted and report issued.