Complaint Investigation Report

Allegation: Staff does not treat resident with respect and dignity.

The detail of the complaint alleges that S1 grabbed the handles of C1’s wheelchair without him being aware and said, "come on we're going to bathroom." The client started yelling "no no I don't wanna go". The staff said "no you're going to the bathroom so I can change you. Additionally, it is alleged that S1 told C1 that “You’re not wearing those pants on my shift.” On April 21. 2025, between 9:00am and 10:30am, LPA Lee interviewed Administrator (A1) who denied the allegations and stated he has assumed the role of Administration as of February 2025 and he was not aware of any reports of staff not treating clients with dignity and respect. On April 21, 2025 between 10:30am and 2:30pm, LPA Lee interview 5 staff (S1-S5) regarding the allegation, and of those interviewed, (4) out (5) denied the allegation stating they always treat the clients with respect and dignity and have not treated the clients in a rough manner nor have they witnessed any other staff handling clients in a rough manner. On April 21, 2025, LPA attempted interviews with 3 client regarding the allegation of the those interviewed, 2 of the 3 were unable to communicate in a meaningful way to answer LPA’s questions. 1 out of 3 was able to shake head “yes” when asked if they he likes living there and if staff is kind to him and treats them "nice." The review of the Individual Program Plan (IPP) confirms that 1 of 3 clients is non-verbal, and 1 of 3 clients can follow simple commands on occasion.