Incident investigation·April 6, 2022

Licensing Program Analyst(s) (LPA) Mary Flores conducted a case management visit to follow up on incident report and adult abuse report (SOC 341) faxed to the department on 4/6/22. LPA met with Lori Lackey assistant administrator and explained the reason for the visit. LPA Flores reviewed staff's file and requested a copy of staff roster, incident report, SOC 341, staff #1(S1) and #2(S2)'s training, personnel record, criminal background clearance,termination letter for S1 and resident #1(R1)'s identification and emergency information sheet, admission agreement, individual service plan, physician's report and resident appraisal. LPA Flores interview staff #2. Incident report dated 4/6/22 reports that on 4/3/22 S2 requested assistance with R1 over the radio and S1 was responded to the call. R1 "suddenly struck S1 in the face and S1 hit her back in the face. S1 stated first instinct was to hit back. R1 was observed for injuries and no injuries were observed. After internal investigation facility concluded to terminate S1. S1 Document's review for R1 show no history of aggressive behaviors recorded, R1 is non-ambulatory. Individual Service Plan does not have any notes regarding providing assistance for behaviors. Further investigation is required. No deficiencies were given during this visit. Exit interview was conducted with Lori Lackey Assistant Administrator and a copy of this report was provided.