| Through interviews, day program staff confirmed that R1 needs a two-person assist when transferring from their wheelchair and cannot stand on their own. They also confirmed seeing bruise and some staff said R1 sometimes changes stories.
Through interviews, care home staff reporting noticing the bruise on 2/14/26 and believed it may have happened during a wheelchair transfer because R1 has been weaker and needing more assistance. Staff reported that R1 bruises easily due to taking Aspirin and having Anemia, and that R1 has a history of changing stories, although, there is no documentation showing a behavioral history of making up statements.
Records reviewed show R1 has anemia and past issues with bruising and vascular congestion. Records also showed R1 often bumps their leg during wheelchair transfer and had been seen by a doctor in October 2025 for bruising easily. The bruise was confirmed during a body check documentation on 2/14/26 and the medication record shows R1 takes Aspirin daily.
Review of R1's doctor's note dated 3/11/2026 noted that R1 was seen multiple times for the potential easy bruising and labs were done. It was noted that R1 was referred to a hematologist for further assessment. Doctor also noted not having any suspicious of abuse from the care home.
Based on the interviews and record reviews, there was not enough evidence to show that staff caused the bruise or physically assaulted R1. Therefore, the allegation is unsubstantiated.
Note that an unsubstantiated finding means 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.
Exit interview was conducted with Matthew Enriquez and a copy of this report and appeal rights were provided.
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