Follow-up on corrections·July 1, 2021

On 7/1/21 at 10:00 AM, Licensing Program Analyst (LPA) Jaclyn Avila conducted an unannounced case management visit concerning an incident report that was submitted to licensing on 6/14/21. LPA met with Jeff Gollihar, administrator and Hannah Sadrin, LVN and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Hannah and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. LPA completed the facility screening. The incident report detailed that on 6/12/21, Staff (S1) forced resident (R1) out of bed and per R1, S1 dragged him out of bed. Police responded to the incident. This department conducted an investigation into the incident which consisted of document review and interviews which revealed that on 6/12/21 at approximately 7:30 AM, S1 pulled R1 out of bed although R1 said no and resisted being pulled from the bed. R1 was pulled from bed and placed in R1's chair. S1 did this by grabbing R1 by the arm and leg while stating S1 did not have time for R1. As a result R1 cried and made a report to the on duty med tech. Additional staff witnessed the incident, R1's response to the incident and stated S1 hated the residents and working at the facility. Administrative staff contacted Oroville Police Department who responded to the facility on 6/12/21. The facility terminated S1 on 6/24/21 as a result of this incident. LPA spoke with administrator and staff regarding mandated reporting and completing the SOC 341. LPA left LIC 855 (Declaration form) for each staff to be completed by 7/5/21. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted and appeal rights provided.