Incident investigation·July 22, 2024

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Case Management Visit.  LPA was greeted by and met with Natalia Lazcano, Caregiver to discuss the purpose of the visit.  Administrator, Julie Norris later arrived and met with LPA. Today's visit is in response to a self reported incident. According to a submitted LIC624 Unusual Incident/Injury Report, on 07/08/2024, staff heard a noise and observed Resident 1 (R1) on their bedroom floor complaining of pain to their wrist. Staff noted R1's left wrist was swollen. On 7/9/24, an outside agency requested a x-ray be taken of R1's wrist. On 7/12/2024, staff again observed R1 on the floor of their bedroom. According to the report, R1 had an unwitnessed fall. R1 reportedly told staff that they hit their head. An outside agency performed a mobile x-ray of R1's wrist. The results of the examination determined R1's left wrist was fractured. During the visit, LPA contacted an outside agency source, requested copies of facility and outside agency records and interviewed facility staff. No health or safety issues were identified. No deficiencies were observed or cited during the visit. *Facility staff advised LPA that R1 passed away on July 17, 2024. Staff stated they will ensure the appropriate reporting is submitted to CCLD. An exit interview was conducted with Administrator, Norris, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22).  Their signature confirms receipt of these documents.