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32 | Staff S2- Staff S5 and the Administrator were interviewed at today's visit.
In regards to the allegation Client sustained multiple injuries due to staff neglect, based on interviews conducted and information gathered Client C1 revealed that C1 fell when the floor was wet.
Stated staff helped right away and stated that staff are very good. Said it was an accident.
Spoke with Regional Center Service Coordinator for Client C1 who stated that the result of their investigation found no evidence to support the allegation having occurred and thus it is Unsubstantiated.
Staff S1 stated that a bruise report was received from the Administrator of the home of Client C1.
Did observe the bruise, but concluded it was not due to abuse.
Also confirmed that Client C1 had an additional fall at the Day Program 1/22/2026 injuring C1's lip.
Spoke with Staff S2-S5 who all stated that Client C1 had urinated on the bed and floor. Also stated that Client C1 was instructed to not get up until the wet floor was cleaned up.
All stated that Client C1 went to get up to go have something to eat and then slipped on the wet floor and banged their head on the wall and that's how the bruise happened.
Said they reacted immediately. Applied ice to the injured area and then took Client C1 to the hospital.
Also all said that Client C1 has an unsteady gait and when leaning forward might fall.
Spoke with Administrator who stated it was just an accident. Said it has happened before at Client C1's family member's home.
Said Client C1 was sitting in bed and insisted on getting up. Said Client C1 has an unsteady gait.
Stated that Client C1 had another fall at Day Program which was after the fall of 12/29/2025.
Special Incident Report (SIR) 6/3/2025 stated that on a home visit Client C1 had an accidental fall and had a black eye. States that Administrator took Client C1 to the hospital right away afterr returning to the facility.
Individual Program Plan (IPP) 2/20/2025 listed under Safety Considerations states Client C1 lacks safety awareness skills and has behavioral issues requiring close supervision.
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 conducted and a copy of this report was provided to Administrator Joseph Estanislao.
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