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32 | The investigation revealed the following:
Allegation: Resident was threatened by another resident while in care due to lack of adequate supervision. It is alleged that another individual in the home has made threats to the client. It is also alleged that someone in the home told the client that if he was to return, they would kill him. Interviewed staff members denied any knowledge of the alleged incident and indicated that no one has threatened C3. (4) out of (4) staff members stated that it was C3 who was verbally abusive and has threatened to kill the staff. Staff members also indicated that C3 has a history of fabricating stories and suffers from self injurious behaviors (SIB) which were documented on the facility files. S1 stated that there was enough supervision to the clients and there are 2-3 staff present per shift. Interviews conducted with C2-C3 revealed that they never witnessed or heard any staff threatening to kill any clients who lived in the home. C2-C3 indicated that it was C3 who often screams and threatened to kill the staff. LPA reviewed the Special Incident Reports (SIRs) which indicated that C3 has engaged in verbal aggression and threatened to kill staff and himself. Review of the reports also indicated that C3 had behavioral episodes of SIB, which required verbal redirection and de-escalation from the staff. Interview conducted telephonically with SGP Regional Center SC revealed that he was not aware of this alleged incident and there was no incident report sent to their office regarding this. SC stated that he did not have any contact directly with C3 to get this information because he is out of the facility.
Based on statements and interviews conducted with clients, staff and SGP Regional Center SC as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the 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 and a copy of this report was provided to the House Lead, Abigail Reano. |