Complaint Investigation Report

On 4/27/25, LPA interviewed 1 client (C6), and reviewed C2-C6’s Individual Program Plan (IPP).

Allegation: Facility staff physically assaulted client

The details of the complaint allege that on 11/23/24, C1 left the home and two of the male caretakers had to wrestle C1 down on the asphalt in the middle of the street.

On 4/15/25, LPA Lee conducted a telephone interview with Zoe Wilson, Administrator (A1), who denied the allegation stating that on 11/23/24, staff were doing a two person lift and C1 became aggressive. A1 further stated that the staff were trying to stop C1 from running into the street as C1 was attempting to jump on cars which poses a potential danger to C1 and the staff. Lastly, A1 states that all the staff are certified in ProAct (de-escalation crisis training).

On 4/18/25 and 4/21/25 LPA Lee conducted telephone interviews with 5 staff (S1-S5). 5 out of 5 denied the allegation stating that staff has never assaulted a client. 5 out of 5 staff also stated that they know how to use de-escalation techniques when needed.

On 4/22/2025, LPA Lee reviewed ProAct (de-escalation crisis training) certificates for all staff (dated: 11/17/24, 8/17/24, 6/30/24) which indicates that they are current with the required de-escalation training for the level of care they provide.

On 4/26/25 between 8:30am and 11:00am, LPA Lee interviewed 4 Clients (C2-C5). LPA could not interview Client #1 (C1) as C1 no longer lives at the facility.