complaint·January 3, 2024

The Department’s investigation consisted of staff, resident, and witness interviews. Interview with R1 was attempted, but due to cognitive state, LPA was not able to retrieve much relative information. However, R1 revealed that they weren’t sure if anything happened to their arm, but that staff are nice and take care of them. A Witness interview stated that they saw Staff One (S1) with R1 in relation to the incident, and that it did not appear as if staff was “forcing” R1 to wash their hands, only that staff was assisting R1 with a bandage after sustaining an injury. Witness interview further stated that they believed that R1 could have sustained the injury due to R1 constantly scratching their head, neck and arms. Based on witness and staff statements of the incident, the allegation was Unsubstantiated. Allegation #2 – Staff threatened resident. The allegation received stated a caregiver told R1 that the caregiver would break R1’s arm if R1 went into the refrigerator for food. The statement provided further alleged that the threat was read out loud by R1 to the caregiver after the caregiver utilized a communication application on their phone to communicate with R1. LPA conducted interviews with R1, staff, and witnesses. Interview with R1 revealed that despite R1’s cognitive state, R1 enjoys staff and feels cared for. An additional resident interview revealed that staff are nice, and they also feel cared for. A Witness interview to the alleged incident denied knowledge of any statement related to staff threatening to break R1’s arm if they went into the refrigerator. Additionally, a Witness stated that staff assist residents with retrieving items from the refrigerator and will routinely go into the refrigerator at night and ask if residents would like anything. Based on resident interviews, the allegation 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 where a copy of this report was discussed with and provided, along with a copy of the LIC811 (confidential names list).