Incident investigation·November 2, 2021

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced case management visit to discuss an incident report received at the Community Care Licensing Regional Office on 10/29/2021 for an incident which occurred on 10/9/2021. It was reported that a staff member hit a resident. LPA met with Resident Care Director, Usman Chaudary and Business Office Manage, Richard Lopez. LPA discussed the incident report with Mr. Chaudary and Mr. Lopez. LPA reviewed staff files and other pertinent documents. According to staff records, staff have received mandated reporter training prior to the incident. Mr. Chaudary stated internal interviews revealed, Staff 1 (S1) did not report the incident immediately because S1 feared retaliation from Staff 2 (S2). S2 denied hitting the resident. Mr. Chaudary was advised that additional information including, interviews, calls, and record review may be needed to complete the case management inquiry. An exit interview was conducted where this report was discussed and provided to Mr. Chaudary.