Complaint Investigation Report

The investigation revealed the following:

Allegation: “Staff inappropriately pushed a client.” It is alleged that a staff pushed C1 and when a staff tried to escort C1 to go on a gurney without any physical contact or interaction, C1 got upset and told the staff “don’t touch me”. No injuries reported. Interview conducted with (5) of (5) staff members all denied the allegation. Staff members interviewed stated they have never inappropriately pushed any client and have not seen other staff do so. Some staff interviewed stated that on 09/03/2025, there was a physical altercation between (2) clients and staff had to take C1 to their room due to their aggressive behavior. Staff interviewed also stated that although there is a policy allowing physical intervention, there were no hands-on engagement occurred. Some staff interviewed also stated that when C1 was about to be placed on a gurney for a 51/50 hold, a staff member tried to accompany C1 without physical contact. (2) out of (4) clients interviewed also denied the allegation. Clients stated they have not witnessed any staff members pushing clients inappropriately. Clients also stated that staff treat them with respect, and they feel safe at the facility. Therefore, there was insufficient evidence to corroborate with the allegation.

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 allegation. Although the allegation 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.

Exit interview held, and a copy of this report was provided to Ronnie Chua, Administrator and Hannah Ortega, Interim Administrator.