Incident investigation·December 22, 2022

On 12/22/22 Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conduct an unannounced case management incident visit. The purpose of the visit is to obtain additional information of the incident received by the regional office on 10/15/22. On 10/15/22 C1 had a warm cloth toweled applied to their left hand due to a bug bite and swelling. The cloth resulted in C1 obtaining a burn on the left hand. C1 was taken to urgent care to receive care. LPA obtained C1's physician reports and discharge notes from hospital visit. LPA also collected doctor's notes from follow up visits. LPA measured the facility's hot water temperature and it measured at 113.3 F. Hot water is within regulations. On 10/25/22 Administrator requested the staff to receive first aid and CPR training. LPA obtain proof of completed training for all staff. LPA interviewed three staff that responded to the incident. Interviews revealed that S1 wet a cloth with warm water from the kitchen faucet. When the cloth was applied, C1 did not pull back indicating the towel was too hot. S1 stepped away to assist another client and when S1 returned to the living room within a couple of minutes S1 observed the cloth of the floor. According to S1, C1 did not seem to be distress or in pain. S1 then notice C1's hand was red and S1 immediately contacted the administrator and C1 was taken to urgent care. No deficiency cited during todays visit. Exit interview conducted. Report signed and delivered.