Incident investigation·December 29, 2021

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced case management visit to follow up on a self reporting incident by the facility that occurred on 12/24/2021. LPA contacted the facility at 12:03pm and spoke with Gerard Palmos staff # 1 (S1) the Resident Service Coordinator and explained the purpose of this call. Around 10:00am on 12/24/2021 R1 daughter reported to ED that some ladies were raping him, and that R1 was man handled by an individual throwing him against the wall of the door. Staff conducted a follow up and R1 stated "it never happened and it didn't occur. A body and skin check was conducted on R1, no noted concerns or bruising observed and the skin was overall in tact. At approximately 12:10pm LPA interviewed staff. Although R1 stated it never happened, LPA requested and obtained copies of relevant documents. LPA conducted a phone interview due to a positive Covid-19 case and facility awaiting testing results that were conducted on 12/25/2021. Based on documents obtained and interviews, LPA has determined that further investigation is required at this time. Exit interview conducted. Copy of this report issued.