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.

Category 3 psychological abuse & neglect found when Subject asked Service Recipient if he had reported that Subject informed him of another’s HIV status in violation of HIPPA.

Category 3 physical abuse substantiated based upon Service Recipient’s statements and injury.

Category 3 abuse obstruction of reports of reportable incidents found. Subject did not report incident. Service Recipient credible.

Category 3 psychological abuse & neglect found. Subject yelled at Service Recipient, breaching Behavior Support Plan, causing substantial diminution of emotional condition.

Category 3 neglect substantiated. Breach of duty. Failed to report service recipient's fall and/or get medical assistance.

Category 3 neglect found: failure to supervise Service Recipients. Staff did not know their whereabouts. Could have performed Subject's duties without breach.

Category 3 neglect substantiated for failure to follow facility policies on supervision.

Category 3 neglect substantiated for failure to follow facility procedures and notify nursing.