Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff did not prevent client(s) from sexually abusing other client in care.

It is being alleged that client in care has been sexually abused by other clients.

On 12/23/24 The Department conducted interview with C1 regarding the allegation above, during the interview C1 could not provide information regarding the allegation above. On 05/14/25 from 9:30 am-10:45am The Department conducted interviews with C2-C11 regarding the allegation above, 10 of 10 clients interviewed denied the allegation above and reported feeling safe living at Highland Manor Guest Home. On 05/14/25 from 11:00 am-11:50 am interviews were conducted with S1-S6 regarding the allegation above, 6 of 6 staff interviewed denied the allegation above. On 05/14/25 The Department conducted a review of C1's file, per incident report dated 11/20/24 C1 was placed on a psychiatric hold due to hallucinations and feeling anxious.

Allegation: Staff did not prevent client(s) from verbally abusing other client in care.

It is being alleged that It is being alleged that client in care has been verbally abused by other clients.

On 12/23/24 The Department conducted interview with C1 regarding the allegation above, during the interview C1 could not provide any information regarding the allegation above.

On 05/14/25 from 9:30 am-10:45am The Department conducted interviews with C2-C11 regarding the allegation above, 8 of 10 clients interviewed denied the allegation above, 2 of 10 clients interviewed report getting into arguments with peers in the past. On 05/14/25 from 11:00 am-11:50 am interviews were conducted with S1-S6 regarding the allegation above, 4 of 6 staff interviewed denied the allegation above, 2 of 6 staff interviewed reported clients have had verbal arguments, but staff intervene and redirect. On 05/14/25 The Department conducted a review of C1's file, per incident report dated 11/11/24 C1 was placed on alert charting for change in condition due to inappropriate comments.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.