Complaint Investigation Report

The investigation revealed the following:

Allegation: Resident was inappropriately restrained

On 11/12/2024, at 9:38 AM, LPA Zina Brown and LPM Janae Hammond interviewed Administrator (A1) Alvin Banzuela via phone regarding the above allegation.

A1 stated that he has provided verbal training for the use of gait belts/postural supports. However, he acknowledged that there is no documented training on file for the use of gait belts/postural supports.

A1 explained that clients use gait belts, which he believes are part of their wheelchairs and are buckled in front of the client.

A1 confirmed there are no physician orders for the use of gait belts.

On 11/12/2024, between 10:14 AM and 10:26 AM, LPA interviewed Staff #1-3 (S1-S3) regarding the allegation:

All three staff confirmed the use of gait belts for all clients and stated that the gait belts are buckled from behind the clients.

Two of the three staff confirmed receiving gait belt training prior to working at the facility.

One staff member confirmed receiving training upon hire.