Incident investigation·August 18, 2023

Licensing Program Analyst (LPA) Galarza conducted a Case Management- Incident visit to follow up on multiple AWOL incidents involving Memory Care resident(s). LPAs met with Administrator Nelida Arlante was explained the purpose of the visit.The purpose of today's visit is to check on the health & safety of residents in care. On July 31,2023 at 6:15 pm, there was an electrical fire in the 1st floor/Memory Care Unit storage room located inside the break room. Fire department inspected the incident and stated the fire was a result of an electrical fire in a lower power outlet that had boxes nearby. Staff immediately evacuated all Memory Care residents to the front and back parking lots. No resident injuries were sustained. As a result of the electrical fire, the 1st floor sprinkler system was triggered throughout the 1st floor and caused major water damage. The facility has scheduled repairs with a tentative completion date of 2 months. In the interim Memory Care residents have been relocated to the 2nd and 3rd floor. On 8/8/2023 at 4:15 pm and 8/15/2023 8:00 pm Dementia resident (R1) AWOL. During the 8/15/2023, incident the resident fell and sustained a facial injury resulting in hospitalization. During today's visit the following was conducted: A physical plant tour of the damaged 1st floor Memory Care Unit was conducted. There is a current COVID-19 outbreak in the 2nd floor. Infection control protocols are in place. A deficiency was cited according to Title 22. See LIC 809D. An exit interview was with Administrator Nelida Arlante. A copy of the report and appeal rights were issued.