Incident investigation·April 13, 2022

On 4/13/2022 at about 9:45 AM Licensing Program Analysts (LPA) Jaclyn Avila and David Loperena arrived at the facility unannounced to conduct and unannounced case management visit on to Unusual incident reports that came in. LPAs met with administrator Cliff Keene and RSD Pomoli Thitphaneth and explained the purpose of the visit. Prior to initiating the visit, LPAs 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. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95. Additionally, LPA Avila and Loperena was screened by care staff upon entrance to the facility. LPAs discussed two self-reported incident reports that were sent in to the Chico CCLD office as required by regulation. LPAs reviewed staff schedules, LIC 602s, and care plans for 2 residents. Both residents had taken falls that resulted in injuries. Both falls were isolated incidents and facility ensured residents medical needs were met. LPAs discussed implementing an ADL checkoff sheet for staff to establish time frames and accountability No citations were issued. Per Administrators request report will be e-mailed.