complaint·November 6, 2025

Allegation: Staff handled resident in an inappropriate manner Finding: Unsubtantiated During investigation, LPAs interviewed staff (ADM, S1, S2, S3), clients (C1, C2, C3, C4) and reviewed clients’ documents. Staff (ADM, S1, S2, S3) denied mishandling any client while in care. Review of clients (C1, C2, C3, C4) latest ISP/IPP plans dated 09/24/25 showed they are non-verbal and have profound intellectual disabilities. LPAs interviewed Ci1, C2, C3, C4 during visit. However, due to profound intellectual disabilities, LPAs were unable to confirm if staff physically or verbally abused them while in care. Staff stated they do not push or mishandle any client when travelling in or out of their transport vans during outings. On 11/06/25 at around 1:30PM, LPAs observed two male staff safely assist four non-verbal clients out of the transport van into the facility after a community outing. On prior unannounced visits dated 10/01/25 and 11/06/25, LPAs did not observe staff mishandle any clients physically or verbally while exiting from the transport vehicle and returning back to the facility. ADM also stated staff continue to assist and redirect clients daily to help them achieve their care plan goals of being independent in performing their activities of daily living (ADLs) as well as being physically and socially active in the community.. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff handled resident in an inappropriate manner is unsubstantiated. No deficiency cited during visit. Exit interview conducted and a copy of this report provided.