Incident investigation·February 19, 2026

On 2/19/2026 at 4:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management Inspection in regards to SOC341 that was received on 2/17/2026. LPA met with Executive Director, Joan Newman and explained the reason for the visit. Based on SOC341 received on 2/17/2026, staff observed resident (R1) was sitting on the floor next to walker with door partially opened. Roommate (R2) was yelling and asking staff to leave. Staff did not observed injuries on R1 and R1 was assisted to another room on the other side of the facility for the remainder of the night. Staff observed fecal matter on R1's mattress and sheets. Staff cleaned the soiled linens. Staff notified both resident's responsible parties and doctors regarding the incident. During visit, LPA collected documents including physician's report, care plan, and care notes for two clients. Interview with S1 indicated R1 was relocated to another room with a new roommate. No deficiencies are being cited on this date. LPA may return at a later time. Exit interview conducted. A copy of this report provided.