Complaint Investigation Report

Due to C1 possibly injuring themselves by banging their head on the wall, 911 was called and police arrived. A review of police records for this date indicate that staff were not responding to the police dispatcher and that dispatch could hear a female screaming.

It is alleged staff are not administering medications as prescribed. LPA and LPM reviewed C1’s Medication Administration Record (MAR) and found that C1 was administered medication as prescribed and not over-medicated as alleged. In addition, staff interviews did not reveal that staff were purposely over-medicating C1.

It is alleged that staff are falsifying incident reports. LPA and LPM reviewed records and conducted interviews. Records do not show that there is any documentation that C1 performed SIB more than what had occurred or showing any dates with SIB of 20. Staff that were interviewed did not state that they had knowledge of documents being falsified or being told if C1 hits themselves one time and staff can not stop them, to document it as 20 times. Record review and staff interviews revealed that on 7/22/2024, C1 did kick Client (C2) on the right leg

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.