Incident investigation·July 11, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on an incident report received by the department on 06/26/2024. LPA was greeted and granted entry by Reception Rosa Leaning and explained the reason for the visit. Executive Director Christian Otbo arrived during the visit. Incident report dated 06/26/2024 indicated Resident 1 (R1) had reported that the resident's private caregiver (PC) had hit the resident. Irvine Police responded, case #24-06954, and determined no criminal activity had occurred. Facility interviewed Resident who changed the story upon interview. Facility interviewed private caregiver who denied the accusation stating that the private caregiver had placed his hand on the resident's neck to guide him to restroom. Facility contacted staffing agency to request the private caregiver not be placed in facility again due to allegation. Per physician report dated 02/09/2024, R1 is diagnosed with Metabolic Encephalopathy and Mild Cognitive Impairment. Physician report indicates resident is confused/ disoriented. LPA is unable to interview resident as resident has moved out of the facility. Exit interview conducted and a copy of this report was left at the facility.