It was alleged that staff handled two clients in a rough manner during separate incidents on July 1, 2026. During staff interviews, conflicting statements were obtained regarding the reported incidents. During W1 interview it was reported staff used excessive physical contact while redirecting the clients, whereas the involved staff stated they were attempting to safely redirect the clients due to their behaviors and denied using excessive force. Facility management stated the incidents were reviewed, staff received additional Professional Boundaries training and management did not conclude that abuse or neglect had occurred. LPA attempted to interview both clients; however, due to their cognitive limitations and nonverbal status, interviews were not possible. LPA observed both clients appropriately supervised by their assigned one-to-one staff, and no inappropriate physical interactions or safety concerns were observed during the visit.

Based on the investigation conducted, which included interviews with staff and witness, as well as a review of relevant records, there was insufficient evidence to support 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 allegation is UNSUBSTANTIATED. Exit interview was held, and a copy of this report was provided.