Complaint Investigation Report

The investigation revealed the following: In regards to the allegation, “Staff hit client”, it is alleged that on 02/26/2026 during an outing C1 was hit on the nose by S1. LPA interviewed the Program Director and an additional three (3) staff that denied the allegation that they did not witness S1 hit C1. LPA interviewed S1 that denied the allegation stating that S1 did not hit C1 and S1 also wasn’t at the outing and did not work with C1 on 2/26/2026. LPA interviewed two (2) staff that attended the outing on 2/26/2026 and stated that they did not witness any staff hit C1 on the nose. LPA interviewed C1 that corroborated with the allegation stating that S1 hit C1 on the lower left chest area but could not provide any evidence or witnesses to confirm C1 was hit by S1. Based on record review, LPA observed C1’s Individual Program Plan (IPP) and Individualized Service Plan (ISP) which indicates C1’s behaviors of fabricating stories, property destruction, physical and verbal aggression. Per Program Director, four (4) out of four (4) staff also stated that C1 has a history of fabricating stories, property destruction, physical and verbal aggression. LPA attempted to interview two (2) out of three (3) clients that attended the outing on 2/26/2026 but was unable to interview since one clients could not answer the questions and the other client was not at the facility and away from home at the time of the visit. LPA interviewed an additional three (3) clients that denied the allegation stating that they have not been hit by S1 or any other staff and have not witnessed any other client get hit by S1 or by other staff. Those three (3) clients stated they have not witnessed S1 or any other staff hit C1. Those three (3) clients also stated feeling safe at the facility. Based on record review, Special Incident Report dated 2/27/2026 indicated that C1 had no injuries. LPA reviewed S1’s file has valid Pro-ACT Basic Principles Training. LPA reviewed Staff training on Mandated Reporting conducted 02/28/2025 on Client Rights conducted on 05/30/2025. There is not enough evidence to substantiate.

Allegation: “Staff spoke inappropriately to client.” It is alleged that on 02/26/2026 during an outing, Staff #2 (S2) cussed C1 out. LPA interviewed the Program Director and three (3) staff that denied the allegation stating that they did not witness S2 cuss C1 out. LPA interviewed one (1) staff that attended the outing on 2/26/2026 stated that S2 did not speak inappropriately to C1. LPA interviewed S2 that denied the allegation stating that S2 did not cuss or speak inappropriately to C1. S2 and the one (1) staff both stated that C1 got agitated during the outing on 2/26/2026 since C1 ordered a meal without a soft drink. Since C1 didn’t have enough money to purchase the soft drink, C1 got verbally and physically aggressive attempting to damage the drink dispenser and threw the lids and straws on the floor. Per S2 and the one (1) staff, C1 asked for money from people passing by and C1 yelled profanities and got upset when C1 didn’t get any money from people passing by. Program Director, S2 and two (2) staff stated that S2 was focused on calming down C1 by redirecting C1. Per Program Director, S2, and two (2) staff stated that C1 was picked up by a Case Manager staff and taken back to the facility.