Complaint Investigation Report

According to facility daily progress notes, C1 had an accident after returning to the facility from their Adult Day Program (ADP). When C1 exited the facility transportation van in the garage of the facility, they accidentally trapped their seatbelt around their body as they exited the vehicle causing them to trip and fall forward out of the van. Staff attempted to assist C1 as they fell into an extra freezer in the garage of the facility which stored extra/emergency perishable food for clients. After the accidental fall by C1, they did not show any sign of bruising immediately or any discomfort. Within three (3) hours of the accident, C1 had begun to show discoloration around their eye. LPA additionally requested and received documented communication between the facility above and the ADP of C1 during and after the date of the incident in question. The documented facility communication with the ADP stated that C1 had an accident coming out of the facility van as their feet got caught in the seat belt causing a fall. The ADP responded by stating C1 was in a good mood to attend the program and did not show signs of discomfort nor dispute the facility statement of facts about the incident. All LPA interviews with facility staff, clients, and credible witnesses from outside the facility all corroborate the events stated by the facility on the date of the incident. The facility had provided a photograph to the Department of the injuries to C1 at the time of the incident in care. A majority of the staff members at the facility interviewed by LPA on 08/29/2024 and 09/16/2024 stated that they believed an allegation of staff physically abusing a client at the facility was being falsely reported to the Department due to internal divisions/grudges between certain Staff members at the facility and previous divisions between staff, relatives of staff, and significant others of staff at various facilities run by the Licensee.

Based on the information gathered, there is insufficient evidence to prove the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

Exit interview conducted. Copy of this report provided to the facility.