Complaint Investigation Report

The Administrator stated that none of their four (4) clients were on one-on-one care plan. The Administrator stated that C2 suddenly scratched C1 inside the transportation van while the van was on the road. The driver of the van immediately pulled over and redirected both clients, returned to the facility to drop off C2 and proceeded to take the rest of the clients to their day program. LPA conducted an interview with the facility van driver who confirmed the Administrator's statement. LPA conducted an interview with Client #3 (C3), who witnessed the incident, also confirmed the Administrator's statement. LPA's attempted interviews with C1 and C2 were unsuccessful due to their verbal communication abilities. LPA's records review revealed that none of the four (4) clients were on one-on-one care.

Based on interviews conducted and records review, the Department's investigation did not provide enough information to corroborate the allegation that staff did not prevent an altercation between residents in care. This allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where a copy of this report was provided.