- Dual (Maltreatment, Elopement)
- Client eloped from the facility after a fire alarm was activated, unlocking all doors at the facility. Client disclosed that he eloped because Staff 1 hit him, and while trying to elope, Staff 2 choked him by placing his hands around his neck, restricting his breathing. Staff were placed on suspension pending the investigation.
- Child Abuse Hotline was called and screened out, but later accepted. Licensing follow-up: Specialist spoke with staff and informed them that even though the call was screened out initially, when it became accepted the facility was responsible for reporting the call to the licensing unit the next business day; Facility cited for 110.12. No video footage is available due to time lapse between when the incident occurred and when licensing received notification. Upon review of personnel files, Staff 1 received disciplinary action for “bullying and antagonizing residents” on 07/19/22 and was retrained on SAMA. Staff 2 was involved in an open maltreatment report from 09/07/22 (not mentioned or addressed in his personnel file). Staff 1 is being terminated on 11/17/22, and Staff 2 is suspended pending the review of an ICA requested by the facility. Licensing also discussed with staff that the information regarding staff maltreatment was not included in the original report to Licensing, and provided education that serious occurrence forms must contain all relevant information.
- CACD investigation was unsubstantiated. No licensing concerns noted.
- Client eloped from the facility after a fire alarm was activated, unlocking all doors at the facility. Client disclosed that he eloped because Staff 1 hit him, and while trying to elope, Staff 2 choked him by placing his hands around his neck, restricting his breathing. Staff were placed on suspension pending the investigation.
PRLU or OLTC
Elopement, Maltreatment, Notice of Incident, Visit Compliance Report