• Is there evidence of indicators of possible abuse? 

• Fractures, sprains or dislocations 

• Burns, blisters, or scalds on the hands or torso 

• Bite marks, scratches, skin tears, and lacerations including those that are in locations that would unlikely result from an accident 

• Bruises or injuries, including those found in unusual locations such as the head (e.g., black eye, broken /missing teeth), neck, lateral locations on the arms, posterior torso and trunk, or shapes (e.g., finger imprints) 

• Fear of others 

• Is the resident exhibiting any aggressive behavior (verbal or physical) to other residents? 

• Hitting, striking out at others,  kicking, pushing 

• Threatening others 

Note: If you witness an act of abuse, you must immediately report this observation to the administrator, or his/her designated representative if the administrator is not present