Complaint Investigation Report

LPA interviewed Client 2 (C2) who stated that they really like the facility. C2 stated that the staff treat C2 with respect. C2 stated that they are familiar with C1. C2 stated that they have never witnessed staff mistreat or hit any clients in care. C2 stated that they have never seen any bruises or marks on C1. C2 stated C1 "was good here."

LPA interviewed Client 3 (C3) who stated that they are "good" at the facility. C3 stated that they are familiar with C1. C3 stated that "C1 was good here." C3 stated that C1 had a bruise on their body. C3 stated that they have never witnessed staff being aggressive or hit a client.

Staff 1 (S1) stated the following regarding C1. T he first night C1 arrived at the facility they showered and got ready for bed. C1 was walking around the house in a tank top and S1 noticed 2 bruises on their arm. S1 stated that they did not think much of the bruises since C1 was a former client and one of their behaviors was hitting themselves on their arm or stomach randomly. S1 stated that it was obvious the behaviors were still occurring at their responsible party's home.

LPA interviewed C1's Responsible Party (RP). RP stated that C1 has a history of doing a lot of self-harm and self-injuries. RP stated that C1 has obsessive compulsive disorder (OCD) which contributes to the self-harm. RP stated that at one point in time C1 would hit one glute over and over causing a large bruise. RP stated when they ask C1 why they hit themselves C1 states "I'm a dummy, I'm a dummy." RP stated that when C1 is told not to hit themselves C1 hits themselves even more. RP stated that they have advised staff at various facilities and programs to ignore C1 when they are hitting themselves since C1 would just do it even more. RP stated that C1 has a high tolerance for pain which results in C1 developing large, dark bruises. RP stated that C1 lived at the facility for over a year and the facility staff is still "like family" with C1. RP stated that C1 now lives with RP. RP stated that they recently placed C1 at the facility for a short stay (Respite Care) in July 2025 while RP traveled out of the country. RP stated that they do not believe that the bruise found on C1 was caused by facility staff.

LPA interviewed Outside Agency (OA) who stated that they recently assisted in placing C1 at the facility for Respite Care. OA stated that C1's RP requested C1 stay at the facility while RP traveled out of the country. OA stated that they were informed by RP that C1 displays a lot of self injurious behavior. OA stated that it was "not a surprise" when they were informed that C1 was seen with a bruise. OA stated that when RP returned home they advised RP of the incident.