Incident investigation·January 16, 2025

On 1/16/25, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management visit due to receiving a LIC624 regarding an incident that occurred on 12/31/24 when a staff (S1) member working in the memory care unit yelling at resident's (R1). LPA met with Kim Sor, Executive Director and explained the purpose of the visit. LPA interviewed S2 regarding the incident that occurred on 12/31/24. S2 stated S1's employment with the facility suspended on 12/31/2024 and then formally terminated on 1/5/25. Facility staff conducted a full investigation into the incident. S2 is deemed ineligible for re-hire. S2 admitted that S1 did yelled at the R1 and witness from other staff. S1 is no longer at the facility. R1 was evaluated after the incident and appeared to not have been adversely affected by the incident. S2 also stated that S1 was immediately suspended at the time of the incident and later terminated. Facility conducted a training on Elder Abuse Reporting on 12/25/24 and on 12/30/24 conducted a training on Residents Right Managing Aggressive Behavior as a reminder for staff to treat the residents with respect. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.