Facility Evaluation Report

Licensing Program Analyst (LPA) Toan Luong conducted an unannounced on-site visit to the facility in regards to an incident report received from the facility. LPA was accompanied by Tri-Counties Regional Center Quality Assurance Specialist (QAS) Vincent Figueroa. LPA met with Administrator Chris Patton and explained the purpose of the visit.

LPA and QAS conducted interviews on 4/26/22, 4/28/22, and on 5/4/22 with witnesses and staff.

It was alleged in the incident report completed 4/22/22 that staff had inappropriately restrained Client #1 (C1).

Interviews reveal Staff #2 (S2) had held C1's wrist together in order to have C1 drop S2's personal belonging. S2 was unaware that grabbing C1's wrist constitutes as a restraint. The facility's procedure would have staff only intervene physically if a client was in danger to self or others. C1 was sitting by C1's self at the time and had been engaging in self-injurious behavior (SIB) prior taking possession of S2's belonging. Once C1 had S2's belonging, C1 was not a threat to self nor others. LPA issued citation on 809D.

LPA conducted exit interview with Administrator and emailed a report along with appeal rights to administrator.