3. Unannounced Visit: Restraint Fracture Copy

Facility Type: 730/733 (Group Home)

Child improperly restrained, resulting in fracture of arm.

Investigation Findings
Department of Social Services IB Investigator conducted the complaint investigation. Investigator conducted all interviews and reviewed documentation. Complaint Specialist (CS) conducted the complaint investigation inspection at the facility. CS reviewed staff and client files. CS obtained copies of documentation.

Based on statements in interviews with all relevant parties and review of medical records, Investigator determined that staff members did improperly restrain the client, resulting in the client obtaining a left arm fracture of humerus shaft.

Due to the above the complaint allegation is SUBSTANTIATED. A finding that is substantiated means the preponderance of evidence standard has been met.

CS delivered findings on February 20, 2016. CS provided appeal rights. CS conducted exit interview. Civil Penalty Assessed in the amount of $2,500.00. See LIC9099 page two for Title 22 deficiency cited.

Deficiency Type /
Section Number
Type A
Section Cited
Personal Rights. Personal rights include the right to be free from physical, sexual, emotional, or other abuse, and corporal punishment.
Staff members did improperly restrain the client, resulting in the client obtaining a left arm fracture of humerus shaft.
Administrator will submit a plan of correction via email to Complaint Specialist by POC date 2/22/16.
Type A
Section Cited
For a violation that the department determines constitutes physical abuse, as defined in paragraph (2), or resulted in serious bodily injury, as defined in Section 243 of the Penal Code, to a person receiving care at a therapeutic day services facility, foster family agency, community treatment facility, full-service adoption agency, non custodial adoption agency, transitional shelter care facility, transitional housing placement provider, or group home, a civil penalty shall be assessed. The civil penalty determination is pending.Civil Penalty in the amount of $2,500.00 assessed. Appeal rights provided.


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