Complaint Investigation Report

The investigation revealed of the following: In regard to the allegation “Staff abused resident resulting in injury/bruising. LPA interviewed four clients and three out of four clients reported that no staff was mean or hit the clients in the facility. LPA interviewed staff and all staff denied the allegation and reported that the big black bruise on C1's left arm was due to the blood drawn on Friday 9/16/22 and C1 admitted to the day program director and all staff and administrator in the facility about the big black bruise on the left arm was from the blood drawn. The administrator reported the incident was happened on Sunday morning 09/20/22, the nurse who drew her blood on Friday called C1 again on Sunday morning and reported they could not draw her blood successfully the other day and they need to come back and do it again. C1 was very mad after the phone call and she hung up on the nurse. Staff tried to explain to C1 and told C1 the nurse needs to schedule the appointment but C1 can refuse when the nurse arrived. The phone call triggered C1’s behavior and C1 came toward to the staff with hands up and with a closed fist. Staff tried to calm C1 down and asked C1 to go back to her room but C1 refused and attempted to attack the staff, therefore the staff had to complete CPI by holding C1’s arm and escorted C1 back to the room. The CPI was not even two minutes full. When C1 was back to the room and C1 called the police. The police came and checked on C1, and no injury was found and determined no crime was occurred.

Based on the interviews conducted with staff and clients and documents reviewed, 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 allegations are UNSUBSTANTIATED

Exit Interview conducted and a copy of this report and appeal right was provided to Assistant Administrator Angela Synder.