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32 | The investigation revealed the following: Allegation-Staff encouraged clients to engage in a physical altercation.
The details of the complaint alleged that facility staff encouraged clients to fight in the facility. It was reported that a client was told to fight C1 against the clients will. On 09/03/25, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and clients (C1-C3) regarding the allegation. 4 of 4 staff denied the allegation that Staff encouraged clients to engage in a physical altercation. They stated that they have never encouraged or allowed any client to engage in these types of activities at the facility or anywhere else. They state that recently a client (C1) was having behavior issues and threw a water bottle at a client, but did not hit the client, and was trying to attack staff members. They stated that they tried redirecting the client, behavior modification, and tried to calm the client down by talking but ultimately the authorities had to be called, and the client was taken to urgent care for further evaluation. They further stated that the client returned to the facility with no other incidents.
The department interviewed clients (C1-C3) about the allegation and 2 of 3 clients that were interviewed stated that they have never had a fight or altercation with other clients at the facility. They also state that they feel safe living at the facility and with the staff. While one client had problems answering questions due to cognitive difficulties.
The department reviewed the Physician Report (Dated: 10/18/2024), Applied Behavioral Progress Report (Dated: 06/25/2025), Incident Report (Dated: 08/20/25), and the South-Central Los Angeles Regional Center IPP Report (Dated: 01/02/2025) and observed that the client (C1) exhibits inappropriate and disruptive behaviors, and a history of noncompliant actions. The department also observed that the client is getting behavioral services that focus on behavioral intervention plans, active treatment programming, including break request reinforcement for aggressive posturing and cursing replacement related behavior. The department did not find any evidence that the staff encourages clients to engage in inappropriate or physical altercations with other clients at the facility.
Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff encouraged clients to engage in a physical altercation. 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 because of neglect, therefore the allegation is Unsubstantiated.
No citations were issued.
An exit interview was conducted with Shenesia Gladney, Administrator, and a hard copy of this Complaint Investigation Report was provided.
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