Incident investigation·January 9, 2025

Licensing Program Analyst Trevor Bryne (LPA) conducted an unannounced Case Management inspection regarding a self-reported Unusual Incident/Injury Report (UIR) incident report received. LPA met with Executive Director Lito Vitug at 12:02 PM and explained the reason for the inspection. On 01/08/2025, Community Care Licensing (CCL) received a self-reported Unusual Incident/Injury Report (UIR) pertaining to an incident that allegedly occurred on 12/29/2024 regarding Resident #1 (R1) and Staff #1 (S1). During today’s visit, the LPA conducted an interview with Executive Director Lito Vitug, conducted a brief physical plant tour, and obtained copies of pertinent information. A referral has been submitted to CCL’s Investigations Branch and Investigator Veronica Padilla has been assigned to this investigation. No immediate health and safety concerns were observed during the visit. Further investigation is needed. Exit interview conducted and copy of report provided.