- Date
- 4/3/2024
- Report number
- 00323009-AP-274659
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) has a history of multiple resident-to-resident altercations. AV service plan indicates Av’s behaviors are known to be spontaneous. AV has a list of interventions for staff to apply when AV is showing agitation. Behavior/Safety Plan for AV dated March 26, 2024, indicates close proximity of other residents may also trigger anxiety, nervousness, confusion, and influence concerning behaviors. Staff must know of AV’s location at all times and relay information to other staff members. Per video on or about April 3, 2024, Witness 1 (W1) and AV are sitting in the common area. AV got up opens a window and sits back down. W1 gets up and closes the window. AV approaches W1 and starts to swing at W1, to which W1 responds by pushing/kicking h/h leg at AV and making contact with AV’s right knee. AV responds and swings at W1, making contact. AV then grabs a large puzzle board and flings it at W1 making contact with W1’s hand resulting in a skin tear. AP1 did not have staff watching AV at the time of this incident on April 3, 2024. The facility failed to follow the Behavior/Safety Plan for AV dated March 26, 2024, which indicates Staff must know of AV’s location at all times and relay information to other staff members. The facility failed to provide a safe environment to AV and W1 knowing AV behaviors are spontaneous, which is a violation of resident rights is neglect of care and constitutes abuse.
- Sanction
- RCFCP24-01026 $375.00 fine assessed