Category 3 neglect found: Subject breached duty, failing to continually supervise Service Recipient who left IRA unattended.

Category 3 neglect found: Subject breached duty, failing to continually supervise Service Recipient who left IRA unattended.

Category 3, deliberate inappropriate use of restraint substantiated. Subject picked up service recipient, performed restraint with improper technique inconsistent with plans & policy.

Category 3 neglect found: Subject observed injury progression to Service Recipient's finger & did not call nurse.

Category 2 & 3 physical abuse found: Subject dragged and struck Service Recipient.

Category 2 neglect, failure to document and report not found; injury unlikely. Category 3 deliberate inappropriate use of restraints & neglect found based on video.

Category 3 physical abuse: pushing service recipient. Category 3 neglect unsubstantiated: failed to establish breach for statement made by Subject.

Category 3 Neglect found. Subject found to have taken sexually provocative photos and video of 11 year old Service Recipient on iPad.

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.