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13 | Licensing Program Analysts (LPAs) Deborah Mullen and Jesse Gardner delivered the findings of the above allegation. LPA met with Arlene Crawford, Executive Director The investigation involved interviews with staff, Administrator and other witnesses. Resident 1 (R1) was unable to be interviewed due to cognitive impairment.
The allegation stated lack of supervision resulted in resident being hit by another resident. Interviews with the Administrator and staff revealed R1 was involved in an altercation on 1/23/21 and 2/15/21. The incidents took place in the main activity room and neither time did either resident sustain any injuries. Both residents have a diagnosis of Dementia which can result in impulsive behavior. As both incidents took place in the activity room with staff present, the allegation that resident was hit due to a lack of supervision could not be corroborated. Per Adninistrator staff continue to monitor R1 and redirect as appropriate to avoid additional negative interactions.
Based on the information obtained there is not enough evidence to state a lack of supervision resulting in resident being hit by another resident. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to the Executive Director |