Category 3 neglect unsubstantiated. Category 2 neglect substantiated. Subject did not properly supervise Service Recipient who urinated outdoors, possessed & smoked marijuana.

Category 2 neglect: Service Recipients unprotected from unsafe water. No fire drills. Category 3 neglect: proper supervision not given. Category 2 neglect not found regarding personal care plan failure.

Category 3 neglect found. Subject did not comply with turnover/break policy and unsupervised Service Recipient eloped.

Category 3 neglect affirmed: Category 3 abuse reversed. Subject’s threat to withhold breakfast was a breach but not abuse.

Category 4 substantiated for systemic problems: inadequate training, failure to ensure orders implemented timely in absence of supervisory staff.

Category 3, neglect found. Subjects loaded barefoot Service Recipient onto van using wheelchair lift resulting in toe injury.

Category 3 neglect found when Subject threatened to take away Service Recipient’s privileges if he cooperated with Justice Center investigation.

Category 3 neglect found. Subject threatened Service Recipient. Category 2 neglect not found. Lack of evidence that Subject failed to maintain professional boundaries.

Category 2 alleged: Service Recipient not secure in wheelchair; driving using phone. Category 2 neglect reduced to 3: Subject sought to secure chair & at times drove slowly, talking hands-free.

Category 3 physical abuse & neglect found. Witness observed Subject grab Service Recipient’s hair & force her toward elevator wall.