Incident investigation·November 4, 2025

On 11/04/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced case management visit regarding an incident report. LPA met with Health and Wellness Director, Navpreet Kaur, and Administrator Gregory Bogart, LPA explained the purpose of the visit. On 10/14/2025, Desk Duty LPA received a SOC 341 report regarding an incident in which staff member S1 allegedly made a gesture and struck resident R1. LPA attempted to interview resident R1 to confirm the details of the incident; however, R1 fell asleep during the interview and appeared visibly tired. T he facility reported no injury to resident R1, and that although the internal investigation determined the incident to be unsubstantiated, staff member S1 is no longer employed at the facility, and additional training was provided to all staff. The LPA requested that facility submit an incident report in addition to the SOC 341. LPA reviewed this report with the administrator, and a copy was provided to the administrator.