complaint·April 25, 2024

While interviewing the Administrator they stated that R1 has dementia and kept falling. When R1 was put on hospice their responsible party inquired about options to help R1 from falling out of chairs. Administrator states that they informed the responsible party that restraints are not allowed but that the responsible party said it should be considered protection and comfort since R1 is on hospice. The Administrator acknowledges that the restraint was used improperly and that they will request an exception from CCLD to use a proper restraint. Administrator states that no restraints are/will be in use until an exeption is made. During the investigation LPA reviewed the records, physicians report and care plan for R1. LPA did not observe any documentation allowing restraints. R1 is on hospice. LPA also referenced photos submitted by the RP that shows R1 restrained in their wheelchair with the latch being wrapped around the bar behind the wheelchair where R1 can not reach it and easily get out. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.