Complaint Investigation Report

S1 went into the house and S2 was outside with C1. Interviews revealed that S3 was handling the medications and cooking while supervising the other clients. Interviews revealed that C1 ran to the work van, started banging their head on the van and fighting S2. C1 took off one shoe and was hitting S2 with it and S2 tried to stop C1. Interviews revealed that S2 was able to call 911 for the PERT team. Interviews revealed as they were waiting for PERT C1 continued to pull S2's hair, and hit S2. Interviews with staff revealed that C1 grabs hair, clothes and anything they can pretty much grab a hold too and will throw punches at the same time. Interviews revealed the PERT team arrived about 430/500 pm. Interviews revealed they took C1 to the hospital as C1 was a danger to self and others.

It was alleged that the staff handled residents in a rough manner. Interviews revealed the staff did not handle the clients roughly. Interviews with staff denied the allegation and stated that they are always thinking of the safety for the clients. Interviews revealed if a client is having a behavior they are right there supervising them and trying to redirect them. Interviews revealed that if a client grabs a hold of them and is aggressive with them they will try to get away from the client so they won't get hurt while trying to make sure the clients don't get hurt either. Interviews with an outside source stated that C1 is known for these behaviors and they are rough. Interviews revealed they do not think the staff would purposely hurt the clients and does not believe they are handling them roughly.

It was alleged that the resident sustained unexplained bruises. Interviews with outside sources revealed the staff are not physically grabbing the clients to cause bruising. Interviews revealed this particular client needs to be in a higher level of care and the behaviors C1 has is a lot for the level 4. Interviews revealed that C1 is hurting or bruising the clients and themselves. Interviews revealed that C1 was in the hospital and they used restraints on C1 due to their behaviors and that is another reason they could possibly have the bruises. Interviews revealed that when incidents happen, the staff hold on to the clients and when they are aggressive they may hold on a little tighter to keep the clients safe but not to hurt them or cause any harm.

The above-mentioned allegations are unsubstantiated. An exit interview was conducted with Sally Saif, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.