Incident investigation·October 8, 2021

On 10/8/2021 at 11:45am, Licensing Program Analyst (LPA) Ashley Boothe arrived unannounced to conduct a case management visit to follow up on incident report and abuse report submitted to the Department. LPA met with Administrator, explained the purpose of today’s visit, and was was allowed entry into the facility. Current census 60. LPA received incident report for incident of altercation between Resident one (R1) and Resident two (R2). LPA reviewed records and conducted interviews. Staff one (S1) observed the incident and Staff (S2) and Staff three (S3) responded and assessed R2 for injury, Local Law enforcement arrived, and Staff four (S4) notified responsible parties and physicians. R2 observed to have injury on right arm brazing, R2 declined hospital treatment, and physician did not request follow up appointment after notification. Based on R1 observed changes in behavior S4 requested updated physician's assessment during today's visit. LPA conducted a case management inspection to ensure proactive measures were put in place to prevent further incidents. If there is another reoccurrence of the same nature occurs the department will return to determine if the current placement continues to be appropriate. Per the California Code of Regulations, Title 22, no deficiencies observed or cited. Exit interview held and a copy of report provided.