Facility Evaluation Report

On 12/04/2023, 12:45 PM, Licensing Program Analyst (LPA) P. Watson unannounced to conduct a case management visit to discuss the usage of restraints for C1. LPA met with Administrator, Bernadette Lee, and explained the purpose of the visit.

Administrator stated that they were unaware that the harness was being used, and stored at the facility, the harness has been used since before they became the Administrator. Administrator became aware of the usage after C1's Behaviorist brought it to their attention. Administrator stated that C1's day program has a doctor note stating why C1 needs to use the restraint during transportation but have not observed those doctors note. While C1 is being transported by facility staff for outing C1 does not wear a harness nor hand restraints and uses a regular seat belt with no issues.

LPA asked what procedures do facility have in place when C1 has behaviors, Administrator stated that they remove C1 from their housemates, allow him to calm down and give him milk and/or snacks to help C1 from bitting themselves. Staff (S1), stated that they also redirect C1 when they are actively bitting themselves. Staff have CPI training. C1 is not a harm to housemates or staff.

LPA was informed that since Administrator became aware of the harness it has no longer been used and facility has gotten rid of it. A clinical team meeting with Regional Center is scheduled for next month to discuss this issue further.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.