Incident investigation·November 1, 2021

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced case management visit. LPA met with the administrator and explained the reason for this visit. Upon entry to the facility a physical plant tour was conducted to ensure no immediate health and safety issues were present. During the physical plant tour no immediate health and safety issues were noted. Facility submitted an serious incident report to licensing regarding an incident where a staff member (S1) was seen in a resident #1 (R1) room acting inappropriately. S1 was immediately escorted out of the building. Administrator conducted interviews with other staff and R1. Administrator called law enforcement, Adult Protective Services(APS), Long Term Care Ombudsman (LTCO), and R1's family and informed them about the alleged incident. LPA conducted interviews with the administrator and facility staff. LPA asked for and received copies of S1's file and R1's file. Due to the need for more information a follow up visit will be made at another time. Exit interview conducted.