Complaint Investigation Report

S5 attempted to contact C1’s conservator and was not successful and management was not contacted at time of incident. S5 and S2 at shift change had communication of S1’s active behaviors per S5. When S5 returned approximately an hour later C1 was in ambulance with head wrapped in bandages. Interview with S2 revealed the start of shift found a lot of blood on the floors and found C1 was bleeding from a cut on their head and was walking around the house. S2 called the supervisor right away, called 911 and administered first Aid to C1. Administrator interview indicated S5 refused to come into the office and discuss what happened and was terminated. Interview with S5 contradicted Administrator indicating they tried to discuss situation with Management following day but was informed they were not allowed on the property until the investigation was complete and did not discuss the situation with S5 further. Based on client record review has a history of self injury behavior. Based on interview 9/15/2025 and final report obtained from Law enforcement indicated their investigation revealed no evidence of alleged abuse. Declaration was obtained by C2 indicates did not see anything of this incident. LPA conducted and attempted to conduct additional interviews with staff and clients which did not reveal information that staff caused injury to client in care. Therefore, the allegation is Unsubstantiated .

A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .