- Date
- 11/9/2024
- Report number
- 00365497-AP-315764
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to maintain a safe physical environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) lives at Facility (AP1) which manages all of AV's health and safety needs due to AV's impaired cognition. AV is impulsive and easily agitated. On or about November 9, 2024, AV took a bottle of cleaning product that was sitting on the kitchen counter and drank one gulp. Several staff tried to get the bottle away from AV, but AV would not let it go for some time. Staff called poison control and was told to monitor AV and push fluids. AV did not show any negative effects from drinking the cleaning product. Staff are trained on chemical safety during initial hiring on-boarding. Cleaning products are not supposed to be left out on the counter or under the kitchen sink; all cleaning products are to be stored in the hallway cleaning closet that is significantly far from the kitchen area. During a facility visit on or about November 19, 2024, staff were reminded over the walkie talkie by management to remove cleaning products from the kitchen area. After the walkie talkie announcement, cleaning products were seen on the kitchen counter and under the sink. The facility failed to provide a safe physical environment, failing to secure hazardous materials (e.g., cleaning solvents), which resulted in AV grabbing a bottle of cleaner from the counter and drinking it. Facility continued to have cleaning products not secured after this incident, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00364 $250.00 fine assessed