Complaint Investigation Report

The investigation revealed the following. Regarding Allegation: Staff did not provide client access to the home- It is alleged that facility staff locked C1 out of the facility on or around 8/23/23. Two (2) out of the four (4) staff interviewed deny this allegation. One (1) out of two (2) clients interviewed deny this allegation. LPA Ramirez reviewed C1’s file. C1 was admitted into the facility on 01-20-23. C1 has a history of physical aggression and damaging property. LPA Ramirez reviewed Daily Behavior Technician Note dated 8/23/23 from C1’ 1:1, which revealed C1’s 1:1 and S2 locked C1 out of the facility while C1 was having a behavioral episode. Based on C1’s Intensive Behavior Support Assessment Record dated 12/30/22, C1 has specific redirects for physical aggression behaviors. LPA Ramirez did not find documentation or interviews that staff utilized those redirects during this behavioral episode. Based on interviews, observations and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiency is being cited. Exit interview was held with staff #4 (S4). A copy of this report, 9099-D and appeals rights was provided.