Incident investigation·February 12, 2025

On February 12, 2024 at approximately 01:30 PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Roseleaf Gardens for the purpose of conducting a Case Management-Incident Inspection. LPA was greeted at the door by Administrator, Stacey Baxter, and was granted access into the facility. On January 27, 2025, an SOC 341 and an Incident report was forwarded to Community Care Licensing Division (CCLD) regarding a resident to resident altercation. Administrator reported that there were no severe injuries and that the facility contacted the Primary Care Physician. The primary aggressive resident was reassessed by the Primary Care Physician and changes were made to the medication. As of February 12, 2025, there has been no incidents of aggression. On February 11, 2025, an incident report was forwarded to Community Care Licensing Division (CCLD) regarding a resident fall. A review of the Incident Report revealed very limited information as to what the outcome of the fall was (See LIC 9102-Technical Advisory) . Administrator did report that the resident returned back with no new orders. LPA educated the Administrator on the importance of ensuring that ALL information is accurately transcribed on the LIC 624 as outlined in Title 22 Regulations. No Deficiencies were cited during today's Case Management-Incident inspection. Exit interview was conducted, and a copy of this report was signed and given to the Administrator.