Complaint Investigation Report

The investigation revealed the following: Regarding allegation: Resident was physically assaulted while in care. It is alleged client #1(C1) was hit in the face by an individual. Interviews conducted with clients revealed 5 out of 5 clients stated they have never witnessed or been hurt physically by other clients or staff. Interviews conducted with staff revealed staff have no knowledge of a client reporting or been observed punched or physically hurt at the facility. Per staff when staff observed a verbal argument or a client with a behavior, they intervene by talking to the clients and de-escalating the situation. Interview with conservator revealed C1 had a history of falls and had not reported other concerns. Documents reviewed revealed C1 was admitted to the facility on 9/6/22. Hospital discharge notes for C1 note C1 was seen on 9/8/22 and 9/25/22 due to falls. C1’s Discharge Summary facility notes C1 was taken to the hospital on 9/27/22 due to a fall. Upon discharge the client required a higher level of care as C1 was no longer ambulatory and the facility does not have a fire clearance for non-ambulatory status. Discharge date: 10/13/22. LPA reviewed attendance sheet for 9/26/22 and LIC 500 for 10/20/22 did not observed the individual listed. LPA was not able to interview C1 as C1 was no longer at the facility and C1's current location is unknown. LPA attempted to contact C1's conservator and was not able to contact conservator.

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

Exit interview was conducted and a copy of this report was provided.