Incident investigation·June 29, 2023

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management and met with Kari Oxford, Administrator and Ashley Perrone, Resident Care Director (RCD). The purpose of this case management inspection is to follow up on an SOC341 & a self reported incident report submitted to Community Care Licensing (CCL) on 6/23/2023. CCL received a self reported incident report and an SOC 341 form reporting on 6/20/2023 staff (S1) had reported to have witnessed at approximately 4:15 pm an attempted sexual encounter between 2 residents and another individual. SOC 341 was cross reported to law enforcement, ombudsman, and Adult Protective Services. Residents and Individual were separated and re-directed by staff. POA, PCP, and law enforcement contacted. Facility is working with PCP and responsible parties. Facility has relocated R2 to a different room and increased supervision. During today’s visit LPA toured facility, obtained documents and was informed by Administrator & RCD that on 6/28/2023 the facility had a meeting with R1's POA regarding additional issues and are working on resident/family support. No deficiencies cited during today's inspection .