Complaint Investigation Report
On April 18, 2024 LPA Domingo interviewed Staff 1 (S1) and S1 stated that S1 does not recall the gait belt wrapping around R1's wheelchair including R1's body. S1 stated that the gait belt is used to help reposition and transfer R1 and is sometimes left on R1's waist because R1 has a history of bending down to remove anything on his feet (Socks, shoes, and slippers). S1 verified that S1 did participate in the care plan meeting on April 12, 2024.
On May 6, 2024 LPA Domingo interviewed Outside Source 2 (OS2) and OS2 stated that there was not a gait belt wrapped around R1's wheelchair and body the day of the care plan meeting on April 12, 2024.
On May 6, 2024 LPA Domingo interviewed Outside Source 3, (OS3) and OS3 stated that OS3 did observe the gait belt wrapped around the wheelchair and waist of R1. OS3 stated that prior to the meetings conclusion OS3 completed a training with the people present at the care plan meeting and reviewed the health and safety reasons to not wrap a gait belt around a person and the wheelchair to prevent the person from falling.
On May 7, 2024 LPA Domingo interviewed Outside Source 4 (OS4) and OS4 verified that there was a gait belt wrapped around the wheelchair and waist of R1. OS4 concurred with OS3 that a training with the staff present at the care plan conference to review the health and safety reasons to not use the gait belt as a restraint.
LPA Domingo attempted to interview other residents in care, but due to their limited cognitive ability no credible information could be attained.
Based on interviews and observations a preponderance of evidence exists to support the allegation that staff restrained a resident. The allegation is therefore substantiate d. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Administrator Genoveva Guerrero, to whom a copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Administrator Genoveva Guerrero
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction