Incident investigation·August 7, 2023

On 08/07/2023 at 12:06 PM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility unannounced to conduct a case management visit regarding a phone call on 08/02/2023 from Ombudsman, Suhair Siraj. LPA was greeted by caregiver, Misivono Qadroka and explained the purpose for the visit. The purpose of the visit is in regards to two learned incident that was called and reported to LPA Lee by ombudsman,Suhair Siraj, on 08/02/2023. It was learned that there were two separate incidents. One incident occurred on 06/02/2023 at 11:30 AM, regarding a knife that was brought to administrator Salote Lewis by a resident. The other incident occurred on 07/26/2023 at 8:30 AM, where a residents threw a steel water bottle at another resident's leg, causing redness with a red bumped. The two incidents was not reported to CCLD and the ombudsman's office. It was learned that the resident called ombudsman, Suhair Siraj to report the two incidents and ombudsman, Suhair Siraj then reported the two incidents to the department. LPA Lee spoke to administrator Salote Lewis on the phone and reminded her that all incidents needs to be reported to the department within seven days. As a result of this case management visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809-D page. An exit interview was conducted with caregiver Misivona Qadroka, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.