Complaint Investigation Report

Supplemental Income, Social Securtity Income Changes, Record of Clients Safeguard Cash Resources with dates from 02/2020 - 7/2023, Unusual Incident Reports, Quarterly Progress Evaluations with Behaviors Consultant from 8/29/23 and 8/07/22, Request for Intensive Staffing (assesment with Behavior Analyst & Behavior Consultant) dated 1/17/23 and 11/30/22, Examinination Summary with Psychiatrist dated 9/10/23 and 6/3/22 and Staying Healthy Assessment dated 9/6/23. LPA interviewed 4 staff (S1-S4) and 2 clients (C1 and C2) during todays visit.

The investigation revealed the following:

Allegation: Staff member hit client while in care.

It is alleged that S1 slapped C1's hand while sorting fruit. During interview with S1 they stated that this incident occurred while at day program, facility staff assists with clients at day program, S1 had redirected C1 as C1 was having disruptive behaviors, on the 2nd redirection S1 asked C1 to take a private phone call away from group for privacy and upon returning C1 began to accuse S1 of smacking them. S1 denied smacking R1 or any client. Interview with C1 they stated that they have never been hit by staff and staff treats them with respect. When LPA mentioned allegation in more detail C1 confirmed that on that day they were getting upset with staff and didn't like being told to take their phone call outside, C1 stated that they now recall S1 smacking them but S1 is no longer an employee and they do not have issues with any staff. Interviews with S1-S3 revealed that S1 has a tendency to fabricate stories and be manipulative, they also stated that they have never hit a client nor witnessed another staff hit a client. During interview with C2 they stated that facility staff have never hit them. Review of Quarterly Progress Evaluations with Behaviors Consultant, Request for Intensive Staffing (assessment with Behavior Analyst & Behavior Consultant), Examination Summary with Psychiatrist indicated that C1 has history of making false allegations of others harming them and fabrication where they verbalize untrue stories. Review of the Staying Healthy Assessment dated 9/6/23 C1 indicated that they have never been hit by a staff member within the last year.

Allegation : Facility makes client buy food with their own money.

It is alleged that staff makes C1 purchase food with their own personal and incidental money. Interviews with S1-S4 each stated that facility staff does not make clients purchase their own food as food is provided to clients. LPA observed food menu and toured kitchen pantry, refrigerator and freezer in garage, there was sufficient amount of food supply to meet the needs of clients in care. Interviews with staff also revealed that C1 at times does not like what is on the menu so they prepare their own meals or purchase their own outside meals/snacks but it is never forced on clients to do so. Interview with C2 client indicated that they don't purchase any outside meals and always eat at the facility.