Incident investigation·December 14, 2023

On 12/14/2023 Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced case management visit regarding a SOC 341 self-reported incident that occurred on 12/7/23. LPA spoke with Amria Angeles Sticka, Executive Director and explained the purpose of the visit. LPA received an SOC 341 self-reported regrading a resident hitting another resident well in the community. LPA interviewed S1 regrading the incident. S1 stated that the situation has been resolved. S1 spoke with the victim family members and explained the situation. R1 was being treated for UTI and now is calmed. S1 had the following plan implement. - R1 was being evaluated by the physician. - Internal investigation of the caused of R1 irritation. - R1 was assigned a one on one after that incident. - LVN did an assessment on R2 for any injury (found no injury) LPA reviewed: - Physician Notification - PCP notification of R1 behavior - Change in medication. - S1 Communication between R1 family member regrading R1 change in behavior. - S1 Communication with R2 family member No deficiencies cited. Exit Interview conducted and a copy of this report provided via email.