Incident investigation·May 18, 2022

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on an incident reports/ SOC 341 received by Community Care Licensing. LPA identified herself and discussed the purpose of the visit with Executive Director Johanna Gonzalez. Incident report dated 05/13/2022 indicated that a private aid reported smoke coming from Resident 1's (R1) room. Code red initiated and maintenance responded. R1's microwave was on fire. Maintenance cleared the fire with a fire extinguisher. No injuries noted on R1. Resident to be re-assessed and microwave was removed. R1's physician report dated 03/19/2019 does not indicate any cognitive decline and resident is able to manage own medications. Incident report/ SOC 341 dated 05/16/2022 indicated R2 had entered R3's room uninvited. R3 called out for help and when staff responded R3 was observed hitting R2 with a clothes hanger. R2 was redirected out of the room and noted to have redness on the hand with no open injury. Residents do not recall the incident. R2 was sent for a urinalysis with results pending. Both residents reside in the memory care unit. During the visit, LPA toured the memory care unit and observed both residents who appeared safe and well taken care of. No deficiencies noted during today's visit and a copy of this report was left at the facility.