Incident investigation·September 2, 2025

On 9/2/2025 at 12:50 PM Licensing Program Analyst (LPA) Shakaricka Hughes conducted a case management visit to the facility regarding an incident that occured on 8/19/2025. LPA met with facility administrator Ermelinda. The current census is 6 with 2 facility staff. LPA conducted an interview with a witness of the incident, who confirmed observing the incident and reported that facility staff were acting aggressively toward residents. Additional interview with the facility administrator confirmed that the incident was not observed by the administrator, but information was obtained through witness and staff reports and video recordings obtained from the witness. The facility reported the incident to CCL LPA Hughes, documented the incident, corrective actions were implemented including the suspension of facility staff (S1) pending the outcome of the investigation of the incident. There were no deficiencies observed or cited during today's case management visit. An exit interview was conducted with facility administrator Ermelinda, and a copy of this report was provided to the facility.