Complaint Investigation Report

Throughout the investigation, 4 staff members were interviewed. Based on staff interview, it was stated that a staff had called for help after he/she observed C1 had passed out in his/her chair while playing on his/her tablet. Staff called 911 and C1’s responsible party.

The staff who observed the incident stated that he/she thought C1 had a seizure because C1 was drooling, however, denied the observation of C1 displaying jerking movements. The 2 staff members who observed C1 during the incident also denied the observation of C1 displaying jerking movements resembling a seizure. Staff denied informing C1’s responsible party that C1 had a seizure.

Staff stated that while waiting for the paramedics to arrive, the staff had turned C1’s chair around to take C1’s pulse and respiration vitals. This staff denied taking C1’s blood pressure.

3 out of 3 staff who observed C1 during the incident denied C1 collapsing to the floor. It was stated that C1 was sitting in his/her chair the entire time until the paramedics arrived. 1 client was interviewed who observed the incident. The client denied C1 collapsing to the floor and stated that C1 was observed sitting down on the chair when C1 put his/her head down.

Based on staff interview, when the paramedics arrived, staff provided the paramedics with C1’s emergency form and the paramedics took over C1’s care.

Based on record review of C1’s emergency form, it’s written that C1 is diagnosed with brittle bone disease.

Staff stated that when the paramedics arrived, he/she did inform the paramedics that C1 had brittle bone. Staff stated that C1’s responsible party (RP) was put on speaker phone when C1’s RP instructed staff to inform the paramedics not to leave the blood pressure cuff on C1, which the paramedic heard and informed his/her colleagues. C1 was placed on a stretcher and was transported to the emergency room. Page 2 of 3.