Incident investigation·February 22, 2022

Licensing Program Analyst (LPA), Kathrina Chin made an unannounced site visit as a follow up to a case management- incident. LPA Chin identified herself and LPA spoke Richard Nordsiek, Executive Director and Jessica Todd, Assisted Living Director regarding a self reported incident which occurred on February 11, 2022. On 2/11/2022, resident 1 who resides in the Memory Care Unit, needed urinary testing due to possible UTI. The results came back the same day and indicated an unusual finding. A second urinary test was conducted with contradictory results. Forensic testing was conducted and the results are still pending. Staff 1 was immediately suspended and is currently not working at the facility. The facility submitted both an unusual incident report and SOC 341 Report of Suspected Dependent Adult/Elder Abuse to the licensing office. LPA interviewed resident 1. No deficiency cited this review as per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator and a copy of this report was provided to Administrator.