“[The commission] will protect people with disabilities – they matter, they are not just a number or a chequebook for these organisations to build these businesses.”

The bulk of the royal commission’s findings centre around the abuse of two clients by Afford support worker Daniel Nuumaalii.

Just weeks after Aprem died in Woodbine, Nuumaalii began abusing two disabled men, known as Jason and Toby, who were enrolled in Afford’s Mt Druitt day program.

The royal commission concluded Afford’s response to Nuumaalii’s abuse was “deficient”, with the former CEO and board failing to give a written apology to the men’s families and failing to engage with victims.

Further, the commission found, Afford took “no timely steps” to address concerns or safeguard against further abuse in the future.

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“The one step taken to prevent a repeat of the conduct of Mr Nuumaalii was not taken until two years after the offending was detected,” the commission report reads.

Nuumaalii was convicted of several offences including 22 counts of intentionally recording an intimate image without consent.

The Mt Druitt day program, between 2016 and 2020, was rapidly expanding and overcrowded, the commission found, and Afford did not adequately respond when such concerns were raised.

The royal commission also criticised the structure of Afford, finding that, at least from 2019, the organisation was “dysfunctional” and its senior managers were in conflict with one another.

”From at least 2019, there were clear signs of dysfunction within Afford, conflict between its senior managers, and indicators that its CEO [Steven Herald] was running the organisation in a manner inappropriate for an organisation dedicated to the provision of disability services,” the report reads.

The commission found Herald approached his job in a “narcissistic and single-minded manner”.

Herald was replaced by Afford’s current CEO Joanne Toohey in late 2021.

Toohey, who was not CEO during the period of time investigated by the royal commission, gave evidence in February this year.

Three weeks later three directors resigned as a result of the commission’s findings.

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“Afford takes full responsibility and accountability for the failings identified by the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability Royal Commission – from 2015 to 2021,” the provider said in a statement

Afford thanked the executives for their “considerable service”.

“All days like these are sad, even when I see Merna getting justice, I see Merna getting answers,” Petrus said on Monday.

Petrus visits her daughter’s grave almost every day and says she still feels her presence – like the other day when Aprem’s favourite song Hotel California came on the radio.

“Her dress hangs in the cupboard, her Star Wars toys in the living room, she is everywhere, everywhere,” Petrus said.

Afford has been contacted for comment.

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