Incident investigation·August 12, 2024

Licensing Program Analyst (LPA) Michael Tea conducted a case management incident visit to follow up on an incident report received by Community Care Licensing (CCL) on August 9, 2024, submitted by Health and Wellness Director (HWD) Suzette Paige, LVN. LPA was greeted and allowed entrance into the facility by Executive Director (ED) John Goodwin. LPA explained the reason for the visit. During the inspection, LPA and ED toured the facility and inspected R1’s room. LPA conducted health and safety checks on residents present and confirmed they were doing well and observed no health and safety issues. LPA observed the facility to be clean and organized and found no health and safety issues. LPA checked perishable and non-perishable food supply and it was adequately stocked at time of visit. The electricity and water were running, the facility had soap and paper towels, and the medications, sharps, and toxins were properly stored. LPA interviewed ED Goodwin and requested and reviewed copies of R1’s resident file and S1’s staff file. On August 7, 2024, facility management concluded their investigation, S1 emailed their resignation before receiving investigation results. Facility management concluded they were going to terminate S1 employment. In Guardian, S1 has been shown to be separated on August 7, 2024. There were no health and safety concerns observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited at this time. An exit interview was conducted with Executive Director, John Goodwin and a copy of this report was provided at exit. **THIS IS AN AMENDED REPORT** This page was created in error. **THIS IS AN AMENDED REPORT**