It is alleged that C1 was returning from day program with aches all over their body and abuse is suspected by the staff, with no injuries observed just comments from C1 stating they are in pain on their stomach, thighs, and arms. LPA's interviewed family of C1 and they stated that there were no injuries and they suspected abuse because they were in pain, the pain was later determined that it was because C1 may have been sore from working out as the facility is Healthy Lifestyles based and encourages clients to eat healthy and exercise regularly. LPA's interviewed S1 and they stated the same as the family member. Interviews with 4 other staff, 3 out of 4 staff stated they have never seen or heard of a staff mistreating or abusing any of the clients at the program. Interviews with 6 clients and 2 client family members, all stated they have never been abused by staff nor have they witnessed any abuse being done to any clients at the facility.

It is alleged that after returning from program C1 is observed with no diaper change. LPA's interviewed C1's family member and they stated that C1 does not use diapers but did observe on one occasion with undergarment of C1 to be soiled when returning from the facility. This was later discussed with S1 and an incident report was noted (LPA reviewed incident report) and showed that C1 had an accident and had no extra clothing to change into, therefore, was sent home with damp undergarment. LPA's reviewed C1's file and reviewed 2 incident reports in relation to this allegation. C1's family further stated that was the only time this occurred. LPA's interviewed 5 staff and 5 out of 5 staff stated that they prompt clients for restroom breaks, assist with incontinence needs when needed, and never have sent a client home soiled. LPA's interviewed family member of another client and family stated that they have never had their child return home from program soiled and are pleased with the facility. During interview with C1 they appeared dry and clean. Interview with C6 they stated that staff assist with changing and have never had any issues nor seen staff neglect others that are unable to communicate verbally with their incontinence needs. During tour LPA's observed sufficient incontinence supplies in a storage room.

(Continued on 9099-C)

It is alleged that staff are not feeding C1 correctly and are throwing C1’s food away and not feeding C1 enough food. LPA's toured facility and reviewed kitchen area, there was sufficient snacks available for clients and client lunch boxes were stored in refrigerator. Interviews with 6 clients 5 out of 6 clients stated that they are fed their lunches and snacks, and have never had a staff throw their food away. LPA's interviewed C1's family member and they stated that previously they would pack a significant amount of food for C1 which was misunderstood by staff, as they only did this to offer a variety of foods to C1 while at program. Family member further stated this was the only time there has been an issue and have not experienced any further issues. LPA's interviewed 5 staff and 4 out of 5 staff stated they have never thrown away a clients food, although they are a healthy lifestyles facility, it is encouraged for clients to consume nutritious foods however they have choices on eating what is packed or an alternative. S2 stated there was only one time where staff may have thrown out left over food C1 did not finish but since then all staff have trained to return leftovers to their homes at end of day.

Based on statements and interviews conducted with staff and clients, review of C1's files and Staff files, there was not enough supportive evidence to concur with the reported allegations.