Incident investigation·August 10, 2021

Licensing Program Analysts (LPA's) Sabrina Calzada and Melana Llopis arrived unannounced to conduct a case management inspection based on recent concerns brought to LPA's attention between (2) residents and attend a resident council meeting. LPA's met with Lacy Berry, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, confirmed with the facility there are currently no positive Covid-19 diagnoses and completed a facility risk assessment. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA's ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask and KN95 mask. During today's inspection, LPA's interviewed Administrator, resident (R1) and receptionist regarding recent allegations between (2) residents. LPA's attempted to interview resident (R2) but resident was out of the building for an appointment. LPA's also observed the shower room in the community. At this time, LPA's will follow up and speak to resident (2) and their representative before concluding the case management inspection. There are no deficiencies issued today on this report. Exit interview. Copy of report provided to Administrator.