Incident investigation·April 3, 2025

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 04/03/25 to do case management visit . LPA met with Administrator, Emanuel Dirar and explained the purpose of the visit. Incident for Resident, R1 - Department followed up on SOC 341 sent by facility on 04/02/25 stating resident (R1) reported to the management on 04/02/25 that staff, S1 were unprofessional and physically abusive to resident, R1 during morning shift on 03/21/25. Facility notified R1s physician, LTCO ,law enforcement and responsible party regarding this incident. Facility Nurse checked R1 for any injurers on 04/02/25 and none were present. SOC341 also indicating that during facility’s internal investigation, S1 denied any wrongdoings and provided their written statement. LPA learnt that S1 was on administrative leave at this time due to this incident. Department conducted interviews with four residents and three staff members during today's visit. LPA requested incident related documents and facility shall send all requested information via email by 04/07/25 (Monday) by 9AM. At this time, this incident is under review and department will do follow up if warranted. No citations were issued per Title 22 Regulations. Exit interview conducted and copy of the report left at facility.