Complaint Investigation Report

Review of review of C1’s Quarterly Report dated October 31, 2025, revealed that C1 exhibits physical aggression behaviors which included attempting to or causing harm to others through scratching, hitting, kicking and/or slapping. Interviews with clients and staff revealed that on November 5, 2025, C1 was exhibiting a behavior and grabbed the safe that contained all of the clients’ money. S1 attempted to retrieve the money box from C1 and C1 pushed S1. Interviews with staff, clients, and outside sources then provided conflicting statements as to the aftermath of C1 pushing S1 and the origins of C1’s bruised right eye. Interviews with staff and review of C1’s progress notes from the day of the incident stated that a Crisis Prevention Institute (CPI) hold was initiated after C1 pushed S1 and the incident was witnessed by Staff #2 (S2). Review of records revealed that S1 resigned from their position at the facility on November 27, 2025.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that staff hit client resulting in bruising. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator Olajumoke Ijabadenuyi, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.