Incident investigation·August 31, 2023

On this day at around 10 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct a case management visit related to an incident that occurred at the facility. LPA met with Memory Care Manager Laura Roberts and explained the purpose of visit. Director of Wellness Zinnia Koch arrived at the facility and met with LPA at a later time. . During the visit, LPA interviewed Koch , Roberts, licensed nurse and 8 residents. All residents interviewed state they feel safe living at the facility. And that the staff treat them well. LPA obtained records for Resident 1 (R1). Koch, Roberts and Nurse all confirmed with LPA that the agency caregiver has been removed from the facility since the incident. At around 11:25 am, LPA reviewed video footage with Koch and Roberts. LPA was unable to obtain video footage from the facility. The facility participates in the Safely You program. The incident will be cross reported to the Home Care Services Bureau (HCSB) for further investigation. A copy of this report was provided to Roberts.