complaint·June 18, 2021

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore an N-95 respirator and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Amanda LaRance. Facility had 3 staff members present in the facility, however all 3 staff were in the garage unloading groceries when this incident happened. Facility was aware that R1's behavior had been agitated for the previous 3 days. Since there were 3 staff present, a minimum of 1 staff member should have stayed indoors to provide care and supervision. Based on the facts and circumstances of this incident, this allegation is SUBSTANTIATED. As a result of this investigation, LPA finds the allegation that resident had a physical altercation with another resident resulting in injury to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6.