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  • About DRA
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02.03.23 Notice of Incident. Suicide Attempt. Self-Harm (1). OZ

  • Suicide Attempt, Self-harm 1
    • Client was discovered by staff in the bathroom with a sweatshirt tied around her neck. Once staff removed the shirt, client began hitting their head on the wall. Client was able to de-escalate, and no injuries were noted. Client placed on 3-day suicide precautions.
    • Licensing follow-up on 02/09/23: Licensing reviewed camera footage. Facility was cited for 907.2: Client was on constant LOS self-harm precautions due to a previous incident, and staff allowed her to go to the bathroom and left her in the room unsupervised for nearly 4 minutes. Facility has suspended the staff member who failed to provide adequate supervision pending internal investigation. Licensing requested all staff are trained on supervision requirements with an emphasis on safety precaution plan supervision requirements. Staff re-education has occurred and will continue to be ongoing.
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