complaint·October 7, 2024

Some of these incidents included raising their voice in R1’s room, and being mean to R2 when asked if staff could hold their hand on a walk due to unsteadiness. Other staff confirmed they reported the issues through their chain of command. The staff reported these issues to the administrator. S3 also scolded R2 for taking keys, that R2 did not take. Staff noted R1 appeared to be “paranoid,” “skittish,” and “afraid” of S3, and wants to know where S3 is. Staff stated S3 also does not do things safely around client, such as turning the stove on and walking away from it. LPA reviewed a write-up dated 1/8/2024 for S3 that discussed how to talk and redirect clients with a positive attitude; choose words that are encouraging instead of demeaning; work on tone and vocab in redirecting; give client time; encourage all clients in the home with positivity. S3 had another write up dated 6/25/2023 that stated proper chain of command must be followed; gossip is not tolerated and needs to be reported to on-call supervisor or HR; clients rights and mandatory reporting; proper redirection/de-escalation CPI techniques. S3 had additional counseling/disciplinary notice for 2/25/2021 due to a medication error; 7/14/2019 due to hitting a pothole with the facility van, causing damage; and 8/15/2018 due to being tardy on multiple shifts. Exit interview, deficiencies cited on 9099-D, report given, appeal rights given.