Incident investigation·August 24, 2023

This is an amended report. This unannounced Case Management – Incident inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of following up on self-reported incident reports received in the Orange County Regional Office (OCRO) on 08/16/23 regarding an incident of rough handling resulting in injuries involving Staff #1 (S1), Resident #1 (R1) and Resident #2 (R2). LPA met with Business Office Director (BOD) Jasbir Govender and discussed the purpose of the inspection. Administrator (AD) Anna Pastores arrived during the inspection. During today’s inspection, LPA and AD toured the facility. LPA observed all sharps, toxins, and medications were properly stored, and observed no health and safety issues. LPA conducted health and safety checks on R1 and R2, conducted interviews, and observed them to be in good spirits and observed no health and safety issues. LPA requested and reviewed copies of the resident roster, staff roster, S1’s staff file, and resident files for R1 and R2. Facility representative was advised that at this time further investigation is required. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.