Complaint Investigation Report

Per the administrator, S1 admitted to pinning down C1 on the chest during their internal investigation. Another staff interviewed witnessed S1 barging into C1’s room without permission and confronting C1 about a situation that occurred earlier that day. S1 approached C1 aggressively which caused C1 to swing at the staff. Both parties fell on the bed and S1 then pinned client down with the right knee. S1 restrained C1 in that position until client reported he was calm. No injuries were observed on C1 that day, however, C1 reported pain on the neck and shoulder a few days later. C1 stated that staff held him down and admitted to swinging at S1. Other client stated that S1 is not respectful towards the clients at the home and uses a loud tone of voice when speaking to them.

Administrator stated the technique used by S1 is not allowed as part of their CPI training and staff had been coach/retrained regarding the approach with clients. Other staff interviewed indicated that S1 had spoken to clients inappropriately in the past and was reported to management. S1 has resigned and no longer working at the facility.

Based on interviews conducted, and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 1), are being cited on the attached LIC 9099D.

An exit interview was conducted. A copy of this report and appeal rights were provided to the administrator.