Complaint Investigation Report

Four out of four staff denied client being hit at the facility, however two out of four staff confirmed they have seen C1 engage in aggressive behaviors, including slamming the bedroom door and punching and hitting staff. Staff #4 were not employed at the time C1 was living at the facility. Per incident report dated November 11, 2022, C1 threw his lamp on the floor and kicked holes in his bedroom door because he could not complete a task normally completed by his peers. On December 14, 2022, C1 thought staff were talking about him and began slamming the front door and bedroom door. Staff #2 told C1 to calm down and C1 began punching staff #2 on the hands, arm, chest, and stomach. When administrator came to see what was going on, C1 asked staff #2 to call 911. 911 was called and C1 was taken to the hospital for suicidal ideation. On December 12, 2022, C1 hit staff #2 because he was told to go to his room. Administrator directed staff to call Crisis Center because C1 was physically aggressive. C1 hit staff #2 in the head and kicked him on the side. C1 made abusive threats towards staff and administrator and C1 expressed didn’t want to live. 911 was called for suicidal and homicidal ideations. Two out of three clients denied witnessing staff #2 hitting C1. C4 confirmed that C1 has kicked a hole in the wall. One out of three clients interviewed stated they have heard staff hit client but didn’t see it.

Based on the evidence gathered during this investigation, 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 .

An exit interview was conducted with S5, and a copy of the report was reviewed and provided.