Complaint Investigation Report

Client sustained unexplained bruises at the facility:

Client C1's family member (FM) observed C1 with bruise when C1 came home. FM thought C1 obtained the bruise at the day program.

On 5/3/2024, LPA interviewed Administrator (ADM). ADM stated the Program Director (PD) has more detail information about the incident. ADM stated the facility had a meeting with client C1's family member (FM), and Service Coordinator for C1's incident.

LPA interviewed Program Director (PD). PD stated the facility received an email from C1's service coordinator (SC) stating C1's family member (FM) saying C1 came home with bruise 2 - 3 days before FM reported to SC. PD stated the facility conducted an internal investigation and nothing was found regarding C1's bruise in the day program.

PD stated the facility had a meeting with FM and SC. The facility staff were thinking the bruise might come from the seat belt of the taxi. C1 was agitated and aggressive toward the taxi driver during the transportation to the day program. It could have been the seat belt that was tightening on C1's chest when C1 was moving the body forward. PD stated there were no any incident on those days regarding C1 in the day program. PD stated the clients in the day program who were around C1 are not aggressive. PD stated they agreed that the facility is going to do body check on C1 when C1 arrives the facility and leaves the facility. PD stated after the incident the facility did not find any bruise on C1.

LPA interviewed a staff S1. S1 stated C1 is in his/her group and staff S2 is direct working with C1. S1 stated he/she has no observations of abuse from staff to clients, no observations of S2 hitting or hurting C1, and no observations of staff hurting or hitting C1.

S1 stated a week ago, the taxi driver (TD) who brought C1 to the facility came to the front desk stating C1 was banging the grill that was put between driver and customer of the taxi. TD stated C1 was not sitting properly and was at the edge of the seat during the transportation. S1 stated he/she went out to see C1 and talked to C1. S1 stated he/she saw C1 was with and on the seat belt in the taxi. TD stated C1 was observed pointed the pencil on his/her arm when he/she was doing his/her activity.