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Inspection visit

Complaint

TRINITY, THELicense 1572093161 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On January 9, 2025, Licensing Program Analyst (LPA), R Bruce conducted a subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff, clients family, hospice worker, and LPA also obtained and/or reviewed facility records. It was determined based on the interviews, photographs, and records review that the above allegation is SUBSTANTIATED. Facility did inappropriately restrain a resident in her wheelchair utilizing a bed sheet tied around the client and chair to prohibit and prevent client from falling. There was no indication in the client's file that the doctor or family was made aware or approved. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, are being cited on the attached LIC 9099D.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87608(a)(1)Type B

    Limit postural support devices to mobility needs

    Postural Support : a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal..., Postural supports may be used under the following conditions.(1) Postural supports shall be limited to appliances or devices such as braces, spring release trays, or soft ties, used to achieve proper body position and balance... This requirement was not met as evidenced by The client was tied to her wheelchair with a bedsheet and not an approved postural support device. There was also no approval from her physician for the restraint utilized. This poses a potential risk to the health, safety and personal rights of the client in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 9, 2025 inspection of TRINITY, THE?

This was a complaint inspection of TRINITY, THE on January 9, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to TRINITY, THE on January 9, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Postural Support : a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal..., Pos..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.