complaint·August 12, 2021

Allegation: Facility staff restrained resident On 03/24/21 at 12:32pm, LPA entered resident (R1) room via facetime during plant inspection. LPA observed resident (R1) bed with a short bed rail on the left side of the bed towards the front of the bed. Bed had a recliner remote control hanging and red cloth ties which were tied to the short bed rail near the front of the bed of resident (R1). On 03/24/2021 at 1:37pm, LPA had Administrator go back to resident (R1) room with staff (S2) to explain the red cloth ties tied on to the bed. Staff (S2) stated he used the cloth ties to keep resident (R1) from falling out of bed and staff (S2) used it to tie it to the chair in the back so if resident (R1) did fall it would make a noise and call to staff (S2) attention. LPA reviewed pertinent records of resident (R1) and did not find any request or reference to resident (R1) needing to be restrained. Based on LPA’s observations, interviews conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.