On 7/19/23, client reported to staff that she believes she obtained injuries on her arms from a physical hold that she was placed in on 7/17/23. Due to allegation, a report was uploaded to the child abuse hotline.
Corrective action: Internal investigation opened, camera footage reviewed, statements provided. Clients arms were assessed and documented. 2 superficial, 1/4-inch scratch marks were noted on her left forearm and upper arm with no actual breaks in the skin. A pea-sized circular area of mild discoloration noted on right upper arm.
Licensing narrative:
- 7/21/2023 – Program Coordinator emailed the facility to find out more information regarding the allegations and why there appears to be a delay in reporting.
- 7/24/2023- Licensing Specialist Jarred Parnell reviewed the complaint.
- 7/26/223 – Program Coordinator and Licensing Specialist visited the facility to discuss the incident. The camera footage was reviewed. Witness statements, training verification, and regulatory check information was obtained. Licensing requested re-training of staff and a copy of the video footage. Licensing received a copy of the retraining.
- 7/26/2023 – Licensing Specialist visited the facility to review camera footage and discuss the reported incident. The video footage was reviewed with handle with care instructor. Camera footage from 7/17/23 was reviewed beginning at 5: 32 PM to 5:53 PM. Questions during review of the video footage concerning handle with care practices and restraint holds used during the incident were answered by handle with care trainer. When the resident was taken to the floor on the unit for a restraint hold, staff participated in holding the resident’s legs after again being told to leave the room by the handle with care instructor observing the restraint.
Please ensure that staff is retrained on how to conduct appropriate restraints/escorts with residents by 8/2/2023. Please ensure staff is retrained on the facilities proper protocols when de-escalating a resident by 8/2/2023. Please ensure all staff present during the incident are re-educated on the facility’s policy regarding proper protocols for staff response to an incident by 8/4/2023. Licensing Specialist: Jarred Parnell.