Complaint Investigation Report

During the interviews, 5 out of 5 staff stated they have not observed a staff verbally or physically abuse a resident in care. LPA attempted to interview 4 residents, and 1 resident declined to be interviewed. ADM stated that residents undergo a full body check when residents arrive from the day program or outings. S2 stated that R1 can be difficult. R1 bites his/her hand and hits his/her hand on things and shouts when he/she has behaviors. Giving R1 cookies help him/her to return to baseline. Residents get physical sometimes but S2 never hit or kicked any of the residents. S5 also shared that they are the one being hit by the residents but they can only do de-escalation but not hit or shout at them. LPA attempted to interview the responsible parties for the residents but was not able to get hold of them.

Based on observations, when LPA Donato visited that facility, both R1 and R2 where in the living room as the classes don’t start till the following week. Both residents were calm and approached S2 and S5 when they need anything. There were no signs of physical or verbal abuse.

Based on records review, a visit from police on 4/29/2025 mentioned that there was no evidence of physical abuse to the residents.

Based on interviews, records review and observations, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.