Incident investigation·November 5, 2021

Licensing Program Analyst (LPA), Kristina Ryan, conducted an unannounced case management visit to follow up on an incident report received on September 17, 2021 LPA Ryan introduced herself, stated the purpose of the visit, was allowed entry and met with Executive Director, Foudhil Manadi and Business Office Manager, Candi Laird. Community Care Licensing (CCL) received an incident report on September 17, 2021 which stated that two residents were involved in an altercation. Facility staff submitted the incident report along with a SOC 341. Licensee informed all of the relevant parties of the incident. During today's visit, LPA toured the facility, reviewed resident records, and interviewed staff and residents. No deficiencies were cited. An exit interview was conducted with Mr Manadi and Ms. Laird. A copy of this report, along with the Licensee Rights (9058 01/16) was emailed to the executive director at the conclusion of the visit, an electronic response confirms the receipt of these documents.