Incident investigation·September 26, 2025

Licensing Program Analyst (LPA) Sam Haddadin conducted an unannounced case management visit to the facility and was greeted by Assistant Administrator Sammy Lee.The facility had submitted a Special Incident Report (SIR) to Community Care Licensing stating that a resident was found bleeding from the forehead for an unknown reason. The resident was subsequently transported to the hospital, where stitches were administered.LPA interviewed Resident 1 (R1), who was alert and able to comprehend and respond to questions. R1 reported that they slipped in the restroom, which caused the forehead injury. LPA reviewed the hospital discharge paperwork, which confirmed that no fracture was identified.An exit interview was conducted, and a copy of this report was provided to the facility.