Incident investigation·May 1, 2025

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. The Agency (CCL) received a report from the facility on April 29, 2025 that a resident (R1) could have been abused during the administering of their medication on April 28, 2025, The report stated that while receiving medication Staff 1 could have forced their finger to open R1's mouth to administer their medication. Staff 2 was assisting R1 with putting on their shoes while Staff 1 was attempting to administer medication to R1. R1 bit Staff 1 while they attempted to administer medication with an oral syringe. Staff 1 immediately stopped what they were doing and left. R1 suffered no injuries. Staff 2 who witnessed the incident reported it to the memory care director who informed the Administrator. The Administrator contacted Law enforcement who arrived around 11:00 am. The Administrator reported that the responsible party (RP) and the primary care physician (PCP) for R1 were notified about incident. The Administrator reported that Law Enforcement took no action. LPA interviewed staff and attempted to interview R1 but R1 would not respond to LPA. After the incident R1 was assessed by a Physician's Assistant and no injuries were noted. Based on staff interviews, R1 bit Staff 1 when Staff 1 attempted to administer medication with an oral syringe. None of the evidence gathered through interviews shows any type of abuse toward R1 occurred. Staff reported that the medication had been administered via oral syringe to R1 numerous times without incident. No deficiencies are being issued as a result of this visit. An exit interview was conducted and a copy of the report provided.