Incident investigation·November 4, 2022

Licensing Program Analyst Michelle Reed arrived at the facility to conduct a Case Management visit. The visit was conducted to discuss an unusual incident report that was sent to the Licensing Office on 10/24/22. Upon arrival, LPA met with Magaly Quinteros. Residents were enjoying activities with other staff. Client #1 was admitted into the facility on 8/1/22. C1 has a mild intellectual disability, a history of strokes and is total care. C1 uses a wheelchair for mobility and is aggressive and lacks safety awareness. On 10/17/22, C1's responsible party reported that S1 had hit C1. It is unknown when this incident may have occurred. Records were reviewed and C1 was interviewed at the time of this visit. C1 could not tell LPA what occurred. According to Administrator Magaly Quinteros, S1 was immediately relieved of duty pending an investigation. S1 denied the allegation and has not returned to the facility. On 11/3/22, C1 bit Magaly Quinteros on her right arm while Magaly was helping to change C1. No citations issued at this time. An exit interview was conducted and a copy of this report was provided to Magaly Quinteros.