complaint·October 7, 2022

On 10/3/2022, the Department received an email from Administrator indicating that "a resident on hospice" (R1) became "very agitated" and staff "gave [them] an activity to entertain" themselves. Administrator indicated that activity ( fidget blanket ) was given to them via Sutter Hospice. Email from Administrator stated that "the belt was tied up behind [R1's] chair...instead of [R1's] waist." Email included a picture of the fidget blanket, which has two straps to wrap around the waist of an individual. During inspection conducted on 10/7/2022, LPA observed fidget blanket and chair R1 was sitting in when strapped with the fidget blanket. LPA interviewed Administrator, who stated that, on 10/1/2022, fidget blanket was strapped around R1 while they were sitting in their chair and staff member did not notice that blanket was wrapped around the chair instead of R1's waist. Administrator stated that staff were with R1 during the time when fidget blanket was wrapped around R1's chair. Once staff observed that fidget blanket was strapped around R1's chair, fidget blanket was removed from R1. Based on interviews conducted by the department and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents.