Complaint Investigation Report

LPA reviewed the incident report dated 9/14/2024 which stated three staff members were attempting to redirect a client (C1) and a staff member was observing the incident. The report did not state staff choked a client.

S1-S4 unanimously confirmed a client (C1) was not choked during the incident. S1-S3 stated they followed the facility’s emergency prevention plan by blocking C1’s attempt to hit staff and using prevention techniques to prevent C1 from hurting themselves.

S1-S4 confirmed C1 tried to strangle themselves with a hanger and with other items. However, S1-S4 confirmed they used de-escalation verbal prompts to stop C1. S1-S4 confirmed they did not hold down C1 nor put their hands around C1’s neck. On 9/30/2024, LPA Spaeth received photos of C1 that were taken on 9/12/2024. The photos do not show any signs of red marks or bruises around C1’s neck. S1-S2 and the Administrator demonstrated to LPA two of the three techniques used. LPA observed the techniques did not include their hands wrapped around another person’s neck. LPA attempted to interview C1.

Based on the interviews conducted, the allegation is unsubstantiated .

An exit interview was conducted and a copy of the report was given.