The Department conducted records review, interviewed witnesses, staff and residents to investigate this allegation. It was learned that resident, R1 was admitted to the facility on 01/28/25. Five (5) staff interviews were conducted, which indicated that they were aware of Resident, R1’s care needs per their Individual Behavior Support Plan (IBSP) and were assisting R1 with their care needs accordingly. It was learnt that R1 receives 1:1 care from staff 24/7 and from other staff assist as needed. On the incident date (09/07/25), R1 was showing aggressive behavior and tried to elope from the facility unassisted. Staff tried to redirect R1 to their best ability but R1 was not co-operating, so staff utilize other interventions including ukeru pads per R1’s IBSP plan. R1 got a cut on their lip and scratches on their face during this episode. Staff provided first aid and R1 were brought back to facility. Staff interviews reflected that staff followed what was implemented in R1s IBSP. Three residents and witnesses did not verbalize any concerns regarding staff care or supervision. Record review did not indicate any concerns that staff were lacking in care and supervision regarding R1s care needs. Furthermore, the facility notified all appropriate parties regarding this incident as required. Based on the information gathered, it has been concluded that although R1 got injuries due to incident on 09/07/25 but it was not due to lack of care or neglect from the staff, therefore this allegation was found to be UNSUBSTANTIATED.

A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.