Violation Details: 00294412-AP-248189

Records Request Print
Date
11/1/2023
Report number
00294412-AP-248189
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0030(1) (e)(I)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for a safe environment. Witness 1 (W1) has history of behaviors, making perverse comments toward staff and/or making staff feel uncomfortable. W1 and AV started hand holding and were observed sitting together on occasions with blankets. Staff reported having apprehension regarding the appropriateness of the dynamic between W1 and AV. On or about November 1, 2023, Witness 3 (W3) noticed AV had a startled, frozen expression in W1's presence. AV told W3 that W1 tried to have AV touch W1's privates. There was a negative change to AV's baseline mood throughout the following day. AV appeared more confused, skittish, and guarded. AV was observed to be tearful during the night shift. The facility failed to adjust the service plan for W1 behaviors, and failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP24-00710 $188.00 fine assessed