Complaint Investigation Report

The investigation revealed of the following: Allegation#1 “Staff hit resident with an object which resulted in injuries . It is alleged that back in December 2023, S1 hit a client with a broom resulting in several injuries (black eye, gash over his eye, bruises from being grabbed leaving finger marks). LPA attempted to interview four clients, 2 of those 4 clients are non-verbal, 1 of the 4 clients denied the allegation, and the other client reported that they witnessed staff hit client with the broom however refused to provide additional information. LPA interviewed multiple staff members and they all denied the allegation. S1 indicated that one of the clients does not like him and will make false allegations against S1.

Allegation#2 “Staff used inappropriate form of punishment” It’s alleged that a staff member will “hose off” a client with cold water in the shower when the client engages in fecal smearing. This client is allegedly left in the shower for extended periods of time. LPA interviewed 2 clients that are verbal and they all denied the allegation. Clients interviewed indicated that they have not witnessed any staff hose down clients with cold water in the shower. All staff interviewed also denied the allegation. Staff members interviewed indicated that one of the clients likes to take long showers and staff will need to prompt the client to exit the shower, however staff is not forcing this client to shower with cold water nor are they forcing them to stay in the shower for long periods of time.

Allegation#3 “Staff falsified documents” It’s alleged that staff has been hiding special incident reports from the Department and have also falsified Pro-Act certifications in the home. All staff interviewed denied the allegation. Staff interviewed indicated that all of the Pro-Act Certificates were issued by a certified Pro-Act Instructor once staff have completed the required courses. These certificates are mailed directly to the facility Administrator via email and the House Manager will file the employee certificates in their personnel files. Facility Regional Director also confirmed this information.

Based on the record reviewed and interviews conducted with clients and staff, Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of the report and appeal right was provided to the Lead Staff Julienna Barrera.