Complaint Investigation Report

Additionally, interviews revealed that a staff member admitted to not being comfortable and trained well enough to perform the hold. Based on interviews, this staff member did participate in the assistance of the hold. Interviews further revealed that holds are not typically performed on the cement for safety reasons. A review of facility’s program design states that during a restraint, a trained staff member will be constantly assessing and monitoring the resident’s physical and psychological status to ensure health and safety including signs of injury, ensuring safety of the resident, and determining if the resident’s behavior poses an imminent risk of serious injury. R1’s IBSP revealed a history of behavior including but not limited to: Hitting and biting other.

As a result of this investigation, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued and noted on LIC 9099D. A civil penalty in the amount of $250 is issued in addition to the citation due to repeat violation of Section 80078(a) within a 12-month period. An exit interview was conducted with {NAME} and a copy of this report was provided via email with request to return with signature. Appeal rights provided. LIC 811 provided.