Complaint Investigation Report

S1 reported that they receive incident reports for all residents, including falls, injuries, or other significant events, and no fall or injury reports were received for R1. Daily morning inspections are conducted for each resident to assess their well-being. During these inspections, no bruises or signs of injury were observed on any residents, including R1.

R1 is ambulatory with a diagnosis that included mild intellectual disability, Down syndrome, and hypothyroidism. R1 was conserved and assigned a Probate Court Investigator on September 28, 2023. The next Individual Program Plan (IPP) meeting is scheduled for December 31, 2025. Observed behaviors include emotional outbursts, physical aggression, and non-cooperation, dropping to the floor to reduce episodes to zero per month.

On August 22, 2025, there were no visible bruises were observed on R1 during the investigation. Residents R2 and R3 confirmed that they have not seen any staff act aggressively toward clients or themselves or have bruises. Staff S3, S4, and S5 confirmed adherence to protocols for checking and documenting bruises and reported no incidents of staff aggression toward clients or bruises for R1. R1 returned to the day program on November 18, 2024.

The investigation concluded that the allegation was unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator and her signature on this report confirms receipt of the Licensee Rights.