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32 | On 08/26/2025, LPA Konishi spoke with the Executive Director over the phone. LPA obtained ongoing staff training on Preventing and Responding to Abuse and Residents’ Personal Rights by email.
During today's visit, LPA obtained the following documents: staff and client rosters. LPA interviewed Resident #5 (R5) to Resident #18 (R18).
The investigation revealed the following: In regards to the allegation, “Staff are not preventing resident from engaging in inappropriate behavior towards other residents in care.” It is alleged Resident #5 (R5) was pushed by Resident #1 (R1) in the dining hall since R5 was sitting at that R1’s preferred seat. It is also alleged that R1 was becoming more aggressive and yelled at other residents. It is alleged that R1 hit his hand on the table and threw a soda at another resident. LPA interviewed six (6) out of six (6) staff that all denied the allegation and stated the staff acted appropriately by immediately intervening, separating, and re-directing R1 and R5. Six (6) out of six (6) staff interviewed stated that R1 did not throw a soda can at another resident but slammed the soda can on the table. LPA interviewed R1 and R1 denied the allegation by stating not hurting R5 or anyone at the dining hall. R1 also stated that R1 did not throw any soda or object at R5. However, R1 stated that R1 was upset because R5 was sitting at R1's preferred seat and that the staff intervened and tried to de-escalate the situation by speaking to him and R5. LPA interviewed R5 and R5 denied the allegation stating that R1 did not yell at R5 or throw any soda or an object at R5 at the dining hall. LPA interviewed 18 out of 18 residents that denied the allegation and stated that the staff intervene whenever residents are involved in a physical or verbal altercation. LPA interviewed three (3) out of 18 residents that stated witnessing R1 and R5 involved in the verbal altercation in which staff immediately intervened to de-escalate the situation by separating the residents. Three (3) of the 18 residents interviewed stated witnessing the incident and no soda or object was thrown by R1 to another resident. LPA reviewed ongoing staff training on Preventing and Responding to Abuse and Residents’ Personal Rights in file. There was insufficient evidence to corroborate with the allegations.
Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation. 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, therefore the allegations are UNSUBSTANTIATED.
Exit interview held, and a copy of this report was provided to the Executive Director, Liyon O'Quinn. |