Incident investigation·May 5, 2025

On 5/5/2025 at approximately 10:00 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced Case Management visit to the facility regarding an incident reported to Community Care Licensing (CCL) on 5/2/2025. LPA was greeted by the Business Director, Shannon Bailey and LPA stated the reason for their visit. The facility reported that Resident one (R1) had reported that a Staff member (S1) used inappropriate physical force towards them causing them pain. LPA requested Census, Staff, and Resident Roster. At approximately 10:30 AM, LPA requested pertinent documentation related to R1's needs/services and S1’s training. At around 10:40 AM LPA conducted a Physical Plant Tour. In between 11:00 AM - 1:00 PM LPA conducted interviews and record review. LPA may return to the facility at a later time, pending further review of the reported incident. There were no health or safety hazards observed during the visit. Exit interview conducted and a copy of this report was provided to the Business Director.