Complaint Investigation Report

a previous entry of “0”. LPA interviewed C1 however, C1 would not tell LPA how they obtained the mark on their neck. C1 did admit to having a wire while they were in their room. Per an Interview with Licensee Vazquez indicated it is unknown where the wire came from and that C1 wrapping items around their neck is a new self-injurious behavior.

On 10/302/24 the initial compliant visit LPA conducted a brief visual check of C1’s room for any potential hazardous items. LPA did not observe any at the time, however during the visit facility staff showed several potentially hazardous items to LPA including a screw, zip tie, and 2 small/metal brackets that were found inside C1’s dresser drawer.

Based on observation and interviews the allegation of staff did not ensure client’s room was kept free of hazards is 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 and a copy of this report, 9099D, appeal rights, and LIC811-confidential names list was provided to Licensee Manuel Vazquez.