Complaint Investigation Report

When LPA interviewed S1 on 3/19/2025 S1 stated that 2 staff restrained C1. S1 states that they restrained C1 with S2. S1 states that C1 is strong which is why they both restrained C1. S1 states that they do not typically restrain resident but that they did that one time for the blood draw. S1 states that they have been trained on how to do restraints in 2024. S1 was unable to tell LPA the name of the restraints they were trained on. S1 states that that they were holding down C1's arm and shoulders while they were getting their blood drawn but can't remember how S2 was restraining C1. On 3/19/2025 LPA briefly spoke with Administrator who states that they were aware of S1 and S2 restraining C1.

LPA reviewed the care plan for C1 and also reviewed correspondences from regional center regarding C1 and found that C1 was not supposed to be restrained by staff and that it was not approved for the blood draw.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted and a copy of this report provided.