Incident investigation·February 25, 2022

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit for the purpose of conducting a Case Management visit regarding an Unusual Incident Report (LIC 624) received from facility on 02/23/2022. LPA was greeted at the reception desk by Administrator Glen Goldsmith and explained the reason for the visit today. LPA interviewed AD Goldsmith and Staff 1 (S1) concerning the February 18 incident regarding Resident 1 (R1). On 02/18/2022, R1 exhibited escalating inappropriate behavior of a sexual nature. The behavior was both physical and verbal, and it was directed towards some female staff and residents. LPA Haley requested Resident 1's (R1) files. LPA reviewed and obtained copies of R1's: Basic Fact Sheet, Individualized Service Plan, Physicians Report, and Preplacement Appraisal Information (page 1). LPA explained if further follow up is required, LPA Haley will return at a later date to continue follow up of this incident. No deficiencies cited at this time. An exit interview was conducted with Administrator Goldsmith and a copy of this report was provided.