Complaint Investigation Report

LPA interviewed one out of four clients at 10:20 am until 10:40 am. LPA interviewed the Administrator at 10:40 am until 10:50 am. The house manager arrived at 11:45 am. LPA Spaeth interviewed three (S1, S2, and S3) out of four staff at 11:00 am until 12:00 pm.

Regarding the allegation: Resident sustained an unexplained injury. It’s being alleged a client had a head injury on 11/24/2024 and the Administrator was unaware an injury occurred. S1-S3 and the Administrator all confirmed C1 did not have a head injury on 11/24/2024. A client (C2) confirmed they did not observe a head injury on C1. Three clients (C2, C3, and C4) were unavailable for an interview.

Regarding the allegation: Staff did not inform authorized representatives of incident. It’s being alleged the client’s head injury was not reported to the responsible parties. S1-S3 and the Administrator stated the responsible parties were not notified because C1 did not have an injury on 11/24/2024.

Based upon client, staff and Administrator interviews, the allegation is unsubstantiated .

Exit interview conducted and a copy of the report was given.