Incident investigation·January 24, 2022

Licensing Program Analyst (LPA), Kathrina Chin contacted the facility via telephone and FaceTime as a follow up to a case management- incident due to COVID-19 and for pre-cautionary measures. LPA Chin identified herself and LPA spoke Executive Director, Stephen Pratt regarding a self-reported incident which occurred on January 18, 2022 and an unusual incident report submitted the same day. On 1/18/2022, two care staff members were found sleeping in the Memory Care Department while caring for eight residents. Mr. Pratt reported that the HR Director and the Memory Care Director conducted a random check at the facility on January 18, 2022 on staff 1 and staff 2 at approximately 4:30 AM and observed both staff members to be sleeping on the job. Both staff members were immediately suspended and are no longer working for the facility. The facility submitted both an unusual incident report and SOC 341 Report of Suspected Dependent Adult/Elder Abuse to the licensing office. No deficiency cited this review. An exit interview was conducted with Administrator via telephone and a copy of this report was provided to Administrator via email. Stephen Pratt, ED agreed to confirm the receipt of the document, review the report and return a signed copy.