Category 2 Neglect found. Service Recipient tied piece of shirt around her neck while on 1:1 supervision with Subject.

Category 2 & 3 neglect: Subject breached supervision & Service Recipient fell. Subject breached duty to seek medical attention. Service Recipient injured.

Category 2 neglect found. Subject failed to provide required 2:1 supervision of Service Recipient during outing with other Service Recipient & staff.

Category 2 Neglect found. Subject left Service Recipient unattended in van & falsified form showing Service Recipient exiting vehicle.

Category 2 neglect found: Subject did not seek medical attention after learning Service Recipients inhaled crushed Suboxone pills.

Category 2 Neglect found. Subject breached supervision duty by leaving Service Recipient unattended in bathtub, endangering Service Recipient.

Category 2 physical abuse found. Service Recipient’s allegation corroborated that Subject struck him, causing swelling & bruising on eye.

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.

Motion for collateral estoppel granted. Subject precluded from arguing duty/breach of duty to provide adequate medical care. Category 2 neglect found after hearing.