Complaint Investigation Report

W1 reported the concern to staff by protocol. A staff member stated that C1 was assessed after the reported incident and that no signs of injury were observed. S1 denied slapping C1 and stated that S1 was clapping while interacting with C1. Other staff members interviewed did not report witnessing the alleged incident or observing S1 hit C1. W3 stated that W3 did not observe any unusual injuries or marks on C1 and confirmed that C1 is able to clap when asked. The Department interviewed eight clients. Due to communication limitations, several clients were unable to provide meaningful information regarding the allegation. C1 did not provide a response regarding whether S1 had hurt C1 or another client. Observations revealed the following: C1 was prompted to clap and was able to put one hand behind the other hand and produced a clapping motion. Records review revealed the following: Records documented that C1 is nonverbal, communicates through gestures, requires assistance with personal-care activities, and has left-hand weakness and limited left-wrist movement. Records also documented that C1 can use both hands to manipulate objects. A nursing note documented that staff completed a limited visual assessment of C1 after the reported incident. The note documented that C1 was already inside the family vehicle when assessed and that no apparent signs of injury or marks were observed.

Based on the evidence gathered, interviews conducted, observations, and records reviewed, although the allegation, “Staff slapped client in care,” may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

An exit interview was conducted, and a copy of this Complaint Report was provided to the Administrator.