Complaint Investigation Report

According to C1s Individual Program Plan (IPP) it stated that C1 has maladaptive behaviors and requires a higher level of care to keep them safe. C1 is typically physically aggressive towards staff and other clients. C1 has a diagnosis of Intellectual disability and Autism Spectrum Disorder.

Interviews revealed that on this day C1 started going back and forth and up and down the stairs going into the bathrooms. C1 then went back upstairs and according to interviews revealed they attacked Staff 1 (S1). Interviews revealed that after C1 attacked S1, the other staff were able to verbally de-escalate C1 and then the licensee was called and they arrived shortly after. Interviews revealed by the time the licensee was called C1 was calm. Interviews revealed that the bruises were already there on C1s face prior to C1 attacking staff. According to staff interviews the administrator and C1's mom are their triggers which C1 obsesses over the administrator and their mom. Interviews revealed that PERT was called and hey took C1 to the hospital for a 51/50 hold. Interviews revealed that on the date of this incident that C1 got physical with the licensee, attacked 1 client and one staff. There were no complaints from outside sources on the staff not neglecting the clients or any type of lack of supervision.

There was no supporting witness statements to substantiate neglect/Lack of Supervision resulted in resident on resident assault therefore the allegation is unsubstantiated.

An exit interview was conducted with Licensee Carson Spivey. A copy of this report and the Licensee's Rights (LIC9058 03/22) were provided at the end of the visit.