Facility Evaluation Report

Licensing Program Analyst (LPA) Darius Williams conducted a follow up Case Management visit from 2/22/2024, regarding a manual restraint being used. LPA met with Nora RodriguezLopez and discussed the purpose of the visit.

According to a record review conducted at the Fresno Regional Office, the facilities Emergency Intervention Plan only mentions a restraint intervention program called PART. According to the facility PRO-ACT Instructor the intervention program used is PRO-ACT. The Administrator provided a copy of the facilities current Emergency Intervention plan however it has not been provided to the Department for review and approval. Upon further review of the plan provided by the Administrator, LPA noticed it did not meet the regulatory requirements. The facilities current emergency intervention plan is not accurate and requires update and approval from the Department.

According to facility records, 5 of 5 staff have received initial PRO-ACT training. However, they do not have the required annual 6 hours of training.

Finally, according to the PRO-ACT curriculum provided by the instructor, LPA observed a seating restraint and wall restraint. LPA did not observe a prone restraint authorized in the program curriculum.

The Administrator reported she will send out an immediate notice informing employees that MANUAL RESTRAINTS CAN NOT BE USED until the Emergency Intervention Plan has been updated to reflect their new curriculum and has been approved by the Department, and staff identified to use intervention techniques have received 6 hours of annual training.