Incident investigation·November 3, 2021

On 11/3/21 Licensing Program Analyst (LPA) Murial Han conducted an unannounced follow-up visit to deliver the investigation outcome concerning an incident that was reported to the Department on 9/20/2021 concerning Staff 1 (S1) alleged Staff #2 (S2) strongly pulled Resident #1 (R1)'s ponytail in the dinning room when asking R1 to sit down on the couch. During the initial visit on 9/22/2021, LPA Han requested for documents, interviewed staff. reviewed records and observed R1 who appeared to be calmed and was lying down on the couch watching TV with other residents. R1 was not able to recall the incident. LPA Han interviewed S2 who denied of pulling R1's ponytail and stated that he/she tapped R1's shoulder as R1 was leaving the dining to redirect R1 back into the dinning room to watch TV where S2 can continue to provide supervision. LPA Han interviewed the Clinical Director and the Administrator regarding to the facility's investigation process. The facility followed their investigation protocols and determined that the allegation to be unsubstantiated, however as an abuse prevention, the facility has provided an in-service to staff on "Elder Abuse Reporting". After the investigation, no deficient cited.