Follow-up·May 10, 2024

Licensing Program Analysts (LPAs) Tao and Reyes conducted an unannounced Case Management- Incident visit in response to Client (C1’s) Incident Report, dated 04/26/24. The facility has a capacity of 90 residents and licensed to serve elderly residents age 60 and above. The facility is approved for fifty-six (56) non-ambulatory residents. LPAs explained the purpose of today's visit to Irina Sarkisyan, Community Business Director and administrator who assisted with this visit. During today's visit LPA toured the facility, interviewed Administrator, staff, resident#1 (R1) and reviewed R1's file. The incident report stated R1 said to the administrator that staff grabbed and twisted resident#1’s right arm. LPA interviewed Administrator/staff revealed that the facility investigated this incident and the finding was unfound. Per interview of R1, resident seem unable to recall the incident. Staff and hospice nurse were monitoring the resident. LPA did not observe nor identify signs of neglect, abuse or other immediate health and safety threats. LPA obtained copies of the following documents: · Staff roster/ Resident roster · R1’s Identification/Emergency Contact Information (facesheet)/ Hospice Document · Needs and service plan/ Unusual Incident Report/In-service training · Admission Agreement Attachment C (Personal Rights) · Physician Report / Pre appraisal / Admission Agreement No deficiencies were observed and cited during this visit. Exit interview held and a copy of the report was provided.