CMS-07-021/023 - Los Angeles County Department of Children and ...

(b) The CONTRACTOR shall use seclusion or behavioral restraints only
when the child’s behavior presents an imminent danger of serious
harm to self or others; and
(c) The CONTRACTOR shall utilize best practices in early intervention
techniques to avoid prone containment.
1.5.3 Important Specific Prohibitions:
(a) CONTRACTOR shall not use physical restraints/containments that
obstruct a child’s respiratory airway or impair a child’s breathing or
respiratory capacity, including techniques in which pressure is placed
on the child’s back or body weight is placed against the child’s torso
or back;
(b) CONTRACTOR shall not use physical restraints/containments that
use a pillow, blanket, or other item to cover the child’s face;
(c) CONTRACTOR shall not use physical or mechanical restraints or
containment on a child with a known medical or physical condition,
and where there is reason to believe that the use would endanger the
child’s life or seriously exacerbate the child’s medical condition;
(d) Unless a physician provides written authorization to the contrary, the
CONTRACTOR shall not use prone mechanical restraints of a child at
risk for positional asphyxiation as a result of one of the following risk
factors that are known to the provider: (1) obesity; (2) pregnancy;
(3) agitated delirium or excited delirium syndromes; (4) cocaine, met
amphetamine, or alcohol intoxication; (5) exposure to pepper spray
(6) preexisting heart disease, including but not limited to, an enlarged
heart or other cardiovascular disorders; and (7) respiratory
conditions including emphysema, bronchitis, or asthma.
(e) CONTRACTOR shall not use physical restraints/containments of a
child in the facedown position with the child’s hands held behind the
back; and
(f) CONTRACTOR shall not use physical restraints/containments of a
child as an extended procedure.
1.6 Special Incident Reporting Via the I-Track System:
In addition to the reporting requirements in Title 22, Division 6 Chapter 1, Section
80061, and Chapter 5, Section 84061, the CONTRACTOR shall also notify
DCFS and Probation of all reportable incidents via the I-Track web-based system
at https:\\itrack.co.la.ca.us. For Probation youths, the CONTRACTOR shall also
report incidents by telephone and fax to the Central Placement OHC Unit.
Failure to report via the I-Track system may result in further action as described
in Exhibit N.
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