Complaint Investigation Report

and land on top of C1, where the staff remained for several minutes. No staff interviews reported S1 threw C1 to the ground.

Staff interviews reported S1 did restrain C1 by holding the client's arms above their head. S1 was contacted; the staff agreed to provide a statement regarding the incident, though one was not received prior to the conclusion of the visit.

Two observation/Information Reports revealed C1 sustained injuries. One document reported C1 was observed on 09/24/2023 with two small cuts to the left hand and another document reported C1 was observed on 09/25/2023 with two bruises on the inner biceps of both arms and multiple scratches on the upper back.

C1 was interviewed and confirmed they initiated the physical altercation with S1 by punching the staff in the face. C1 reported they (C1) and S1 were pushing each other, and they both fell on the ground. C1 reported S1 was grabbing their biceps and caused bruising near their upper arms, which was observed by the LPA.

According to Administrator Fijabi and the facility's Emergency Intervention Support Plan, S1 did not utilize proper training techniques when attempting to de-escalate the incident between themself and C1. In addition, staff who were present at the facility did not intervene to provide the staff support.

A Crisis Prevention Intervention (CPI) Training Log revealed S1 did receive training on de-escalation techniques on 09/22/2023. The Department also received a Report of Suspected Dependent Adult/Elder Abuse (SOC 341) the day following the incident.

Based on records and interviews, this allegation is deemed SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted; this report was reviewed with Administrator Fijabi and a copy was provided, along with LIC 811 and appeal rights.