Complaint Investigation Report

Allegation #1: Client sustained an unexplained injury while in care of the facility.

The complaint alleged that the client sustained unexplained bruising. On June 4, 2026, the department interviewed the Executive Director (ED), who denied the allegation. The ED stated that the client (C1) had a small blister on the left index finger but did not know how it occurred.

On the same day, the department also interviewed two staff members (S1 and S2), who denied the allegations. They confirmed that C1 had a blister on the left index finger while using the wheelchair.

The department interviewed two clients, C1 and C2, on the same day. C1 stated that on February 15, 2024, C1 woke up with a small blister on the left index finger and was unsure how it occurred. Initially, C1 mentioned that the blister was not painful; however, the discomfort began after they left the Day Program. Later that day, the facility took C1 to the Emergency Room (ER). A review of the ER discharge papers dated February 15, 2024, indicated that C1 was admitted to the hospital with a boil on the left index finger. Additionally, the department contacted the placement agency, which stated that the Service Coordinator for C1 at the time no longer works there and that no information is available.

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.