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Response: Investigators
investigate incidents related to the safety of individuals who
receive services from the provider. Our mission is always to
provide those services in a "caring and hospitable environment."
An incident is an event which represents harm or potential harm,
precisely the type of situation that would subvert our mission.
When the most serious incidents occur,
we conduct investigations. An investigation is an to describe
and explain what occurred, by itself an ambitious understanding;
however, we only make these efforts in an attempt to create a
more caring and hospitable environment. We believe that by having
created the most complete understanding of the circumstances
resulting in the harm, we are then best able to make intelligent
decisions that will prevent such harm in the future.
A very wordy introduction to the issue
at hand! The fact that someone writes, "I did it,"
represents less than everything that might be relevant in improving
the environment in which individuals live, work and learn. In
fact, if we stopped an investigation every time someone confessed
-- either in person or in writing -- we would likely miss much
detail that would move well beyond an individual staff person's
culpability for the event.
Without know more about the case that generated
the question, let's consider the following. A staff person slaps
an individual during the dinner hour. The staff person is immediately
suspended pending investigation. The next day he sends a letter
saying, "Yes, I slapped Fred. I was upset and frankly don't
particularly feel I can work comfortably at this place. I therefore
resign." In other words, the person appears to have resolved
everyone's concerns in only 23 words.
But we don't know why the accused was upset.
We don't know anything of the circumstances that led up to the
event. Let's consider this possibility. The staff person did
slap Fred, who had been very angry all through dinner because,
unbeknownst to the accused, a second consumer had been stealing
French fries from his plate. Let's assume also that there has
developed over the past several months a "laissez faire"
attitude on the part of staff helping with dinner that has led
to significant and avoidable consumer conflict.
Failure to continue the investigation,
including taking the time to actually speak with the accused,
would likely result in a less than complete understanding of
not just what happened (i.e., "Yes, the accused did slap
Fred..." as the answer to the investigatory question), but
why it happened. |