Complaint Investigation Report

Interview with Inland Regional Center CSC (IRC-CSC) revealed that they were present in the facility when the CPI hold with C1 occurred. IRC-CSC stated that the CPI hold was not used in a rough manner with C1. The CPI hold was used to protect the staff and other clients from a dangerous situation. The CPI hold, along with talking to C1, calmed the client down, and deescalated the situation.

Interviews with clients and staff revealed that the facility uses Crisis Prevention and Intervention (CPI) holds on the clients. The staff use CPI holds on the clients when the staff needs to protect themselves from dangerous situations. The staff denied using CPI holds when it was not necessary to protect themselves. The staff will attempt to deescalate the client’s behavior with talking, distracting, and redirection prior to using a CPI hold. The CPI holds are used as a last resort. The clients stated that they don’t think that the staff are using CPI holds inappropriately or in a rough manner. The clients stated that the staff only uses CPI holds when its necessary to calm a client down and it is not done in a rough manner.

Document review revealed that the staff are trained on CPI holds and methods annually to ensure the staff are up to date on how to properly use CPI with the clients. Document review of a special incident report (SIR) sent to State Licensing on 6/26/2023 revealed that a CPI hold was used on C1 on 6/20/2023. The SIR details the events leading up to and after the CPI hold. The SIR’s details the same information that was revealed during interviews in this investigation.

Overall, there was not enough evidence to collaborate the allegation listed above.

Based on evidence obtained during the investigation, the allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Facility Manager Laporsha Grant, along with a copy of the appeal rights.