Incident investigation·June 2, 2022

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced case management visit to follow up on an SOC 341 received by Community Care Licensing on 05/30/2022. LPA met with Executive Director Rosa Ayala and explained the reason for the visit. SOC 341 dated 05/30/2022 indicated Staff 1 (S1) was overheard by a visitor making inappropriate statements to Resident 1 (R1) while resident was shouting. Facility staff notified and resident was assessed to have no injuries. S1 was immediately put off schedule while an investigation was conducted. Facility completed an investigation and S1 was brought back to work on 06/01/2022. Facility has begun to conduct an eight step training program for Dementia care. During the visit, LPA toured the memory care unit and interviewed staff. Four out of four staff interviewed deny witnessing any abuse or inappropriate behavior towards residents. All staff indicated challenging behaviors by R1 but deny any abusive behavior from staff. R1's physician report dated 09/28/2021 indicates a diagnosis of Alzheimer's Disease/ Dementia. LPA reviewed S1's training records during the visit. S1 is current on training including Dementia Care, Personal Rights, and Reporting Requirements. No deficiencies noted during today's visit. Exit Interview conducted and a copy of this report was left at the facility.