Incident investigation·August 21, 2024

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Executive Director, Reginald Jones. Today's visit was in response to a timely self reported incident that occurred on 07/22/24 involving Resident #1 (R1). Per the report, Staff #1 (S1) provided improper care to R1 by forcing R1 to shower, against their will. Executive Director stated S1 was suspended and later terminated on 07/29/24 . S1 was terminated as it's against facility for violating a resident's personal rights. LPA performed a facility tour/welfare check on remaining residents and collected pertinent records. No deficiencies were observed or cited during today's visit. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1 and Staff #1]