Complaint Investigation Report

The investigation revealed, regarding allegation: Staff did not prevent resident from inappropriately touching another resident in care. It is alleged that a client touches another client inappropriately and staff did not do anything to prevent it.

LPA interviewed four (4) staff and all four (4) staff stated they are aware of C2 behavior and it has been addressed and continues to be addressed. . LPA interviewed three (3) clients and two (2) of three (3) could not corroborate the allegation. C1 stated C2 grabbed C1’s buttocks two weeks ago. C1 stated it happens to staff as well. LPA interviewed four (4) staff and all four (4) staff stated they are aware of client’s “touchy” behavior but have never witness any client touching another client buttocks. S1 stated that on average there are six staff on duty and watching clients very closely. S1 stated that medication has been prescribed for C2 which has help. C2 has been at facility about four years, and the “touchy” behavior is addressed each time and logged into an ABC log. (A = immediately before the behavior. B = consumer’s behavior C = Immediately after behavior). The logs are documented with all behaviors and the intervention for the inappropriate behavior(s). LPA obtained copy of January 2026 monthly behavior consult assessment (IBSP) which clearly identifies the inappropriate behaviors and how staff can address specific behaviors. All four (4) staff stated that C2 is appropriate for the home and will continue to address his “touchy” behaviors. There is insufficient evidence that the facility staff is not preventing client from touching other clients inappropriately.

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 .

Exit interview conducted and copy of report and appeals rights provided to Claudia Rivera, Lead staff