Incident investigation·August 27, 2025

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 08/27/25 to do case management visit . LPA met with Staff, LVN,Tiiffany Gibson and explained the purpose of the visit. Department followed up on SOC 341 sent by facility on 08/26/25 regarding residents, R1 and R2. Facility notified law enforcement and long term care ombudsman (LTCO) regarding this incident. LPA requested documents related to this incident and facility will submit all documents by 09/03/25. At this time, this case in under review and department will do follow up as needed. No citations were issued per Title 22 Regulations. Exit interview conducted and copy of the report left at facility.