Complaint Investigation Report

Allegation: Staff threw water at client while in care

The complaint allegation alleges that staff threw water at a client’s face.

During record review, the department received and reviewed a Special Incident Reports (SIR), that was received by the department on 02/17/2024 regarding an incident that occurred on 02/03/2024. The SIR states S2 asked S5 to get the cup of water in the freezer and saw S2 throw water on C1. The SIR states S5’s focus was on C2 and was in the process of taking C2 to their room. When S2 returned to the living room they observed “a lot of water on the floor.” Additionally, the department received and reviewed an SIR for an incident that occurred on 02/05/2024. S6 in the incident report, stated S2 and S3 began to tell S6 they have found a way to get C1 to calm down during a behavior, they said they spray C1 in the face with water. S6 informed them that is not acceptable and will report it to S1.

During interviews with Staff S1 and S3-S9, were asked if they have knowledge of staff throwing water on C1 during behaviors, four (4) out of eight (8) stated they had knowledge of staff throwing water on C1. Additionally, during interviews with Staff S1 and S3-S9, were asked if they have seen staff throw water on C1, one (1) out of eight (8) stated they have seen staff throw water on C1.

During an interview with Client C3, was asked if staff have thrown water on them or seen staff throw water on other Clients, C3 stated no, they have not seen it, nor had it happened to them.