Complaint Investigation Report

Allegation #1: Staff pushed a client while in care.

The complaint alleged that staff member prevented a client from entering the kitchen by pushing them. On October 1, 2025, at approximately 10:00 AM, LPA Richard interviewed Staff Member 1 (S1), who denied the allegation and stated that they would never push a client, emphasizing that the client has rights and should be treated with respect.

At the same time, LPA interviewed the Administrator (A1), who also denied the allegation, asserting that S1 cares about the clients and would never push or harm them.

At approximately 10:30 AM on the same day, LPA conducted a phone interview with Client 2 (C2), who denied witnessing any incident where a staff member pushed clients. LPA also interviewed the IRC, which claimed not to know any staff member pushing Client 1 (C1).

Additionally, LPA reviewed the facility notes dated April 4, 2022, to April 18, 2022, and the unusual Incident Report (SIR) from April 4, 2022, which indicated that C1 was involved in pushing other clients into care. LPA examined another SIR dated August 7, 2022, which stated that C1 required a higher level of care and received a 3-day notice. On August 10, 2022, C1 was relocated to another home. On October 1, 2025, LPA attempted to interview C1 but was unable to do so as C1 no longer resides at the facility.

Based on interviews, available evidence, observation, information received, and records reviewed, there was not sufficient evidence to support the allegation. 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 deemed unsubstantiated.