Incident investigation·September 22, 2021

On 9/22/2021, Licensing Program Analyst (LPA) Murial Han conducted an unannounced visit to follow-up on an incident reports/ SOC 341 that was reported by the facility. LPA Han met with the Clinical Director, Jennine Chan and explained the purpose of the visit. The facility reported that Staff 1 (S1) alleged Staff 2 (S2) strongly pulled Resident 1 (R1)'s ponytail in the dining room when asking her to sitting down on the couch. The Clinical Director conducted a skin assessment for R1 and no injuries were noted. During today's visit, LPA interviewed staff, observed R1 and requested for documents. This incident requires further investigation. This report is discussed and reviewed with the Clinical Director. A copy is provided.