Incident investigation·August 2, 2024

Licensing Program Analysts (LPAs) Angela Barutyan and Zabel Chochian conducted an unannounced case management - incident visit at 2:46PM. Upon arrival, LPAs met with staff and reason for visit was explained. Staff contacted Administrator who arrived at approximately 03:00PM. Reason for the visit was discussed with the Administrator Christian Havsgaard. On 08/01/2024, the Department received an incident report stating that on 07/06/2024, two staff members were assisting Resident #1 (R1) when Staff #1 (S1) slapped R1. Staff #2 (S2) witnessed the incident and recognized it as abuse, but informed the Administrator later on 07/31/2024 due to fears of retaliation from S1 and Staff #3 (S3), the relative of S1. During today’s visit, LPAs conducted a plant tour at 02:50PM of the facility which includes six (6) resident bedrooms, one (1) staff room, four (4) resident bathrooms, one (1) staff bathroom, kitchen, and common areas to ensure there are no health and safety hazards. LPAs conducted interviews with the Administrator at 03:25PM, two (2) staff members, and two (2) residents between 03:43PM-04:19PM, conducted a file review at 03:35PM, 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.