- Date
- 10/24/2022
- Report number
- 00228877-AP-187018
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) has history of exit seeking behaviors. On or about October 19, 2022, a TSP was put into place; engage AV with tasks, walk and provide conversation, provide a calm quiet space, and administer PRN medication. AV is documented to exit seek multiple times after TSP, threaten self-harm behavior and have aggressive behavior towards staff. On or about October 24, 2022, AV climbed out of a facility window and attempted to climb over the courtyard fence, when staff intervened. Later that day AV climbed out h/h apartment window and walked to the front door of the facility to let staff know s/he was going home. The facility failed to provide a safe environment, implement new interventions, and have an appropriate safety plan following AV's continued exit seeking behaviors and demonstrated ability to exit the facility, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01387 $500.00 fine assessed