| 340:110-3-154.2(b)(1) | behaviors that could cause physical pain, such as shaking, striking, spanking, grabbing, yanking, pulling, pushing, choking, threatening, or other cruel treatment; | Behavior Management: Resident injured during a physical restraint performed by facility staff. | By 10-27-26 staff will complete behavioral management retraining, review video footage with supervisor and identify what could have been done differently. | Substantiated |
| 340:110-3-153.1(b) | Personnel and responsibilities. The program recruits personnel with specialized skills, knowledge, and the cultural understanding and competencies necessary for quality residential care services. Personnel demonstrate responsible behavior reasonably ensuring residents' care and safety. Personnel cooperate with Oklahoma Human Services (OKDHS) staff, including monitoring visits and investigations. | Additional Non-Compliance Found During Investigation: Personnel: After resident was released from physical restraint personnel "toasted" one another with individual milk cartons in front of residents present in dayroom. | Staff will receive coaching note for inappropriate behavior following a hold and further disciplinary action if behaviors continue in the future. | Determined During Course of Investigation |
| 340:110-3-154.2(b) | Prohibitions. Except as otherwise authorized per Oklahoma Administrative Code (OAC) 340:110-3-168 and 340:110-3-169, program policy prohibits: | Additional Non-Compliance Found During Investigation: Behavior Management: Resident attempting to pull fire alarm with no threat of harm to self or others was placed in a hold. Resident pushed into wall during a physical restraint performed by facility staff. Resident forced up on their toes by staff during a physical restraint. | By 10-27-26 staff will review verbal de-escalation techniques, trauma informed care and complete a handle with care refresher. | Determined During Course of Investigation |