Complaint Investigation Report

The investigation revealed the following regarding the allegation: “Staff inappropriately pushed a client.” It is alleged S1 inappropriately pushed C1. Four (4) out of the four (4) staff interviewed denied this allegation. Three (3) out of the three (3) clients interviewed denied this allegation. On 08/07/2025, LPA Ramirez interviewed C1 and C1 revealed that S1 did not inappropriately push them. Review of C1’s IPP revealed C1 has a history of making false allegations. Review of incident reports for C1 did not corroborate this allegation. On 07/15/2025, the facility conducted their own investigation. Review of Internal Review Summary dated 07/18/2025, did not corroborate the 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 .

“Staff did not prevent a client from sustaining injuries while in care.” It is alleged that staff did not prevent C1 from sustaining injuries while in care. Four (4) out of the four (4) staff interviewed denied this allegation. Three (3) out of the three (3) clients interviewed denied this allegation. On 08/07/2025, LPA Ramirez interviewed C1 and C1 revealed that although they did sustain an injury, the injury was not caused by staff and C1 was not sure how they sustained their injury. Review of C1’s IPP revealed C1 has a history of self-injurious behaviors. Review of incident reports for C1 did not corroborate this allegation. On 07/15/2025, the facility conducted their own investigation. Review of Internal Review Summary dated 07/18/2025, did not corroborate the 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 .

No deficiencies were cited for this complaint investigation. Exit interview was conducted. A copy of this report was provided via email.