Violation Details: 00436392-AP-388264

Records Request Print
Date
10/10/2025
Report number
00436392-AP-388264
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0030(1)(e)(H) and (I)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) and Witness 1 (W1) live at Respondent’s facility and relies on the facility staff to provide safety. W1 has a history of anxiety, agitation resident-to-resident, and staff altercations. AV and W1 have a romantic relationship, however, AV has expressed no longer feeling safe around W1. W1's interim service plan reflects W1 was put on a 1:1 for aggressive behavior. However, facility staff failed to follow W1 interim service plan for 1:1 placing AV at risk of serious harm. On or about October 10, 2025, Witness 3 (W3) came on shift and the 1:1 was nowhere to be found. AV's door was cracked open and W1 was in AV's room. Respondent failed to follow W1 service plan and interventions. This constitutes abuse by neglect.
Sanction
RCFCP26-00270 $500.00 fine assessed