Incident investigation·August 21, 2024

Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced case management visit at 02:20PM. The purpose of this visit is to conduct an investigation regarding two self-reported incidents and SOC 341s that occurred on unknown dates. Upon arrival, the LPA met with Executive Director (ED) Trevin Willis and explained the reason for the visit. Entrance Interview conducted. On 08/17/2024, the Department received an incident report stating that on an unknown date, two (2) staff members, Staff 1 (S1) and Staff 2 (S2), were witnessed by Staff 3 (S3) slapping Resident 1 (R1) across the face in R1’s bedroom. According to the report, the incident occurred weeks ago and was reported to the previous ED Michael Owens and Health and Services Director Gloria Barron, but no action was taken at the time. S3 reported the incident to Staff 5 (S5) who reported to ED Willis on 08/16/2024. S1 and S2 have been placed on leave until a formal investigation can be completed by company HR. Families have been notified. The Department received another incident report on 08/20/2024 stating that on an unknown date, S1, S3, and Staff 4 (S4) took a selfie in front of Resident 2 (R2) in the bathroom who was exposed in the picture. Staff members then shared the picture among their personal circles. Staff 6 (S6) reported the incident to ED on 08/20/2024. S1, S2, S3, and S4 have been placed on leave until a formal investigation can be completed by company HR. Families were notified to call ED. During today’s visit, LPA Barutyan conducted interviews with the ED and three (3) staff members between 02:25PM-03:53PM, conducted a file review at 03:00PM, and obtained copies of pertinent documents relevant to the investigation. Prior to issuing final licensing report, it has been determined that further investigation is needed at this time. Exit Interview Conducted and Report was Issued.