Incident investigation·April 23, 2025

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to several incident reports submitted to the Department. LPA met with Mike Talani, Administrator. LPA also met with Marie Valdiviezo, Resident Care Coordinator, and discussed (4) incident reports from March 2025. (R1) who fell on 3/6/25 began to receive home health services, including physical therapy to regain her strength.(R2) had a first fall on 3/19/25 and has returned to baseline. Many interventions were put into place. (R3) reported missing a ring in March 2025. The Ombudsman also investigated, and it was determined the ring was possibly lost at the hospital. (R4) reported missing cash but wasn't sure where the cash was when it disappeared. The police came out to investigate and was not able to conclude the cash was taken from (R4's room). The RCC stated all caregivers are great about reporting if a resident is missing an item. LPA observed both reported thefts to be documented per the facility's Theft and Loss policy. Additionally, training was provided by the Administrator and the Ombudsman regarding theft and loss and resident safeguarding their personal items following both reported incidents. There are no deficiencies issued in this report. Exit interview. Copy of report provided.