Complaint Investigation Report

It was alleged that resident sustained unexplained injuries while in staff care. It was reported that Client #1 (C1) was seen with multiple bruises on body including lower and upper chest and bruises and red marks on back as well as on the upper hip. Records review revealed that on C1’s physician’s report dated, 05/12/2023 it indicates C1’s primary diagnosis as autism and it states that “C1 needs constant adult supervision for activities of daily living & care. Judgement is impaired & it may put C1 in harm’s way if C1 is not supervised”. Interviews conducted with staff revealed that C1 has both a rocking chair and a swing which C1 enjoys using often. And although staff supervise C1 at all times, staff stated that C1 can at times become aggressive when playing causing small bruises. Additionally, staff added that prior instances occurred where C1 could not stay put and was becoming very disruptive and destructive. However, C1’s primary care physician (PCP) was contacted and ultimately C1’s medication was adjusted. Interviews conducted with family members revealed that facility staff communicate well with them whether it is via phone call or emails and reported having no concerns with how facility staff assist the clients. Furthermore, during client interviews, client stated feeling safe at home. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation 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 above allegation “resident sustained unexplained injuries while in staff care", is deemed Unsubstantiated at this time.

Exit interview conducted. No citations issued. Copy of the report was issued.