Complaint Investigation Report

The investigation revealed the following:

Allegation: “Staff caused an injury to a resident in care.” I t is alleged that staff members hit C1 on the head resulting in a bruise on the head that has been there since June 2025. (4) out of (4) staff interviewed denied the allegation and stated they treat clients with dignity and respect. S1 and S4 stated that C1 was seen by a doctor in July for a scalp abrasion and received treatment. S1 indicated that C1 does not want to shower and has scabs on the head from scratching. All staff interviewed confirmed they are trained on abuse/zero tolerance policy and know not to hit clients. S1 also indicated that C1 has a history of fabricating stories. Documents reviewed revealed that C1 has a history of fabricating stories/allegations and C1 was treated for a scalp abrasion on July 28, 2025 . Regional Center's Service Coordinator indicated that they are in the process of investigating the allegation. Therefore, there is insufficient evidence to corroborate the allegation.

Allegation: “Staff yells at a resident in care..” It is alleged that a staff member yelled at C1 to wake them up on Wed., 08/20/2025 and that this yelling happens often. (4) out of (4) staff interviewed denied the allegation and stated they do not yell at clients. On the contrary, it is sometimes family members who yell at staff. S2 stated that when F1 called C1 on the phone on 08/20/2025, there were other staff present and noises in the home from a verbal altercation between (2) clients, but they were not yelling at clients. S1 and S2 stated that sometimes, they use a louder or stern voice when redirecting clients. C3 denied the allegation and stated that no one yells at them and staff treat them with respect. During the interviews with staff, LPA observed that S1 and S2 naturally had a louder voice and tone than other staff. Regional Center's Service Coordinator indicated that they are in the process of investigating the allegation. Therefore, there is insufficient evidence to corroborate the allegation.

Based on statements and interviews conducted with staff, client, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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 this report was provided to Administrator John Wilson-Ekaun.