Incident investigation·December 5, 2024

Licensing Program Analyst (LPA) Tao conducted an unannounced Case Management- Incident visit in response to resident#4 (R4) Incident Report, dated 09/09/24. The incident was regarding resident who jumped off the balcony. LPA explained the purpose of today's visit to Hardin Lin, Director , who assisted with this visit. During today's visit LPA toured the facility, interviewed staff/residents/responsible party, conducted physical plant and reviewed R4's file. The incident report stated R4 jumped off the the balcony from resident's room. Per interviews with staff, it revealed that the facility investigated this incident and the resident was not sober at the moment of the incident. Per interviews of residents, residents indicated staff did not neglect residents while in care. Per responsible party interview, R4 was not sober and thought resident could go to Mar for lunch after jumping off the balcony. Responsible party indicated that incident was resident's fault. Police came to investigate. (no report# was provided.) LPA did not observe nor identify signs of neglect, abuse or other immediate health and safety threats. LPA obtained copies of the following documents: · Staff / Resident roster · R4’s Identification/Emergency Contact Information (facesheet) · Unusual Incident Report · Physician Report No deficiencies were observed and cited during this visit. Exit interview held and a copy of the report was provided.