Incident investigation·May 12, 2022

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Case Management- Incident visit. LPA met with Resident Care Coordinator (RCC), Juan Ramirez, and explained the purpose of the visit. Prior to entering the facility, the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA were screened by facility staff upon entering the facility. Regional Nurse, Robyn Moore, arrived at a later time. The purpose of the visit was to follow-up on an unusual incident/injury report that was sent to Community Care Licensing (CCL) on 05/11/2022. The report indicates that a memory care resident (R1) made an allegation of physical abuse by husband. The report also indicates that on 05/05/2022 R1 made an statement to facility staff of a sexual assault occurred. LPA interviewed Regional Nurse regarding the report. The interview with Regional Nurse indicates that R1 had moved in the facility for a couple months. The facility notified R1's POA, Primary Care Physician, Ombudsman and Police Department. Skin check was performed. No bruises or new skin alterations noted. The facility are conducting an internal investigation and care plan will be updated to include that no male staff to personally care for R1. The facility plans to retrain staff regarding mandated reporting started on 05/11/2022 to be completed by 5/13/2022. LPA requested for R1's physician report, service plan, updated care plan, and copies of training LPA toured the facility together with Regional Nurse to ensure health and safety of residents in care. In the areas toured no immediate health, safety, or personal rights violations were observed At this time, deficiencies are not being cited. Exit interview conducted and a copy of the report left at the facility.