Complaint Investigation Report

returned to the facility and was upset. Although staff attempted to redirect C1, they continued shouting and cursing, which upset another client. The other client then hit C1 on their back. According to staff interviewed, C1 provoked the other client, telling the other client to hit C1 and using curse words with the other client. Staff redirected the other client to their room, however, the other client returned to the common area and hit C1 before staff could stop the client. Interview with C1 revealed that staff were present at the time of the incident and staff did attempt to intervene. Record review revealed that staff do have training in de-escalation techniques and behavioral intervention. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Allegation: " Licensee does not ensure facility telephone is maintained in proper working order:"

The complaint alleges that the facility telephone does not work intermittently. Interviews revealed that the clients in the home frequently unplug the corded phone, causing it to not function properly. During today's visit, LPA called the facility phone, it rang and was functional. Staff interviews revealed that when a client reports the phone is non-functional, the staff check on it and plug it back in so the clients can use the phone. Staff did state that when a client has had a behavior and have broken the phone, it is replaced right away by the licensee. During today's visit Licensee arrived at the facility with supplies. Additionally, staff stated that clients' families have the staff phone number and can contact them to get ahold of the clients when needed. Clients interviewed stated the staff fix the phone and they had no concerns with telephone accessibility. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Allegation: " Licensee does not ensure staff are adequately trained:"

During today's visit, LPA and Investigator reviewed staff files for 4 (four) staff. All staff training reviewed was complete. Staff interviews revealed that all staff have ongoing training including client-specific training through the behaviorist. All staff are trained on each client's individual behaviors and needs. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

No citations issued. Exit interview conducted. A copy of today's report was provided.