Complaint Investigation Report

1 out 4 residents stated that they have witnessed a staff member tease another resident and allow them to run around with no clothes on. It was also stated that the staff member would comment on the resident's appearance and tease them about the way they ate. 2 out 4 residents stated that they were treated with dignity and respect from other staff members. 2 out 4 residents were unable to complete interviews due to medical conditions. Based on interviews and the information gathered the staff did not treat the residents with dignity.

As a result of this investigation, this department found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

Allegation: Staff encouraged residents in care to self-harm

It was alleged that staff encouraged resident in care to self-harm. During the course of the investigation, LPA conducted 4 staff and 4 resident interviews and reviewed facility records. 2 out 4 staff interviews stated that they have witnessed a former staff member (S1) encourage a resident to self harm. Based on facility records, R1's current IPP states that R1 is non-veral and has a history of self-harming behaviors when frustrated. It was witnessed by staff that S1 would encourage R1 to continue to hurt themselves because they have are not hurting anyone else. 4 out 4 staff members denied that they have encourage residents to self harm. 2 out 4 staff members denied that they have seen any other staff members encourage residents in care to self-harm. 2 out 4 residents stated denied that any staff members encouraged them to hurt themselves. 2 out 4 residents denied witnessing any staff members encouraging other resident's to self harm.2 out 4 residents were unable to complete interviews due to medical conditions. Based on interviews and the information gathered staff did encourage residents in care to self-harm.

As a result of this investigation, this department found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

Allegation: Staff did not allow resident to leave their room while in care.

It was alleged that staff did not allow resident to leave their room while in care. During the course of the investigation, LPA conducted 4 staff and 4 resident interviews. 4 out 4 staff members denied any residents in their room. 4 out 4 staff members denied that they have seen any other staff members lock any residents in their room. 1 out 4 residents stated that S1 would lock the room when they were having a behavior to teach them a lesson.