Incident investigation·May 4, 2022

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct a Case Management inspection and met with Administrator Charleen Vierra who arrived approximately 45 minutes later. When LPA knocked on facility front door multiple times and no one answered, LPA walked in without any wonder guard alarms (auditory device') going off. LPA waited 7 minutes inside front entrance for staff to respond. When Administrator arrived LPA discussed requirements and regulations of safety code. The purpose of this case management inspection is to follow up on a self reported incident, SOC 341 to Community Care Licensing (CCL) received on 5/3/2022 regarding resident (R1) who has claimed was raped by a staff (S1) on 4/29/2022 and told a friend via text. Resident has Young Onset Alzheimer's Disease and recently changed doctors who then due to an obsessed appetite new doctor prescribed new medication. R1 had appreciated S1 for providing food but after the old medication wore off R1 became confused and suspicious. Facility did report incident to the local Police and Local Long Term Care Ombudsman who came out and interviewed resident and staff. CCL has requested copy of investigation. LPA conducted interviews and obtained records at todays visit. Appeal Rights Given. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal rights provided.