complaint·July 13, 2023

the past R1 would normally say please do not say anything if there is a scratch observed. Due to the inconsistencies and R1 recanting their statement stating that they lied about what happened, after having exhibited behavior out of their baseline, the allegation of Staff member slapped resident is UNSUBSTANTIATED. Regarding the allegation facility staff refused to change client's soiled diaper. Per the interview conducted with R1, R1 did not confirm nor deny the allegation of staff refusing to change their diaper. Interviews conducted with facility staff revealed that they denied ever having to refuse to change any of the residents. There was a time when R1 did not attend the day program because there were constant complaints of them arriving to the program soiled, but they were always changed and must have used the restroom in route to the program. A review of documentation revealed that R1 did have an increased bowel movements and may be contributed to the coffee that they were drinking or the medication that they were prescribed. However, the facility staff interviews also revealed that residents with incontinent needs are checked every two hours, and in addition are assisted when the resident has made the request known to be changed. Due to insufficient evidence, the allegation of facility staff refused to change client's soiled diaper is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of this report was provided to Christopher Bunalian, Administrator.