Complaint Investigation Report

The investigation revealed the following: in regards to the allegation "Staff physically assaulted resident” it is alleged that C1 was eating breakfast when S1 told C1 multiple times that the van to take C1 to the adult day program was waiting outside. C1 got angry that S1 kept saying the van was waiting, so C1 hit S1, and then S1 hit C1 back with the mop S1 was holding which resulted in bruising on C1’s left rib cage area. Admin and S1 interviewed denied the allegation. Admin and S1 interviewed stated that C1 hit S1 multiple times and S1 was attempting to defend and block C1’s punches and used the mop to block the punches. Admin and S1 stated that C1 grabbed the mop and as S1 and C1 were grabbing the mop, S1 let go of the mop which resulted in end of the mop handle to hit C1’s body. Staff #2 (S2) and Staff #3 (S3) who also worked on the day of incident could not confirm nor deny the allegation since both stated that they did not witness the incident. S1 is currently suspended pending investigation. Staff interviewed indicated that they never physically abused any clients but they indicated that they placed CPI holds as required on the clients in the past. However, based on staff interviewed, Admin and staff claimed that proper CPI procedure was not conducted in this incident. Based on staff and client interview, first aid and ice was applied and no hospitalization was required. This will be addressed in a separate case management visit report. LPA Interview with W1 indicated that C1 has a history of violent behaviors. LPA reviewed all documentation that C1 has a history of physical aggression, verbal/aggression and emotional outbursts towards staff and clients. One (1) of the two (2) clients interviewed corroborated with the allegation but stated client hitting the staff. One (1) of the two (2) clients interviewed did not provide an answer that confirms nor deny the allegation. In addition, there were no witnesses that observed the alleged incident. No paperwork observed in the files that showed the staff have been reprimanded for physical abuse. Based on interviewing Witness #1 (W1) to Witness #3 (W3) all stated speaking with C1 and that C1 did state getting hit by the S1 with the mop but C1 also informed them that C1 hit S1. One (1) of the three (3) witnesses interviewed stated that the facility did not follow proper CPI procedures and that C1 does not like when redirected or given reminders. LPA reviewed staff training in file. Therefore, there was insufficient evidence to corroborate with the allegations.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview held with the Staff #4 (S4) and a copy of this report was provided.