Incident investigation·December 21, 2021

On 12/21/21 at 1:05pm, Licensing Program Analyst (LPA) arrived unannounced to conduct a case management visit regarding recent incident reports received. LPA met with Regional Center Executive (RCE) Jenna Silva and explained the purpose of the visit. Administrator Anuradha Saini was notified by phone and gave permission for Jenna to accommodate LPA and sign paperwork in her absence. LPA reviewed incident reports from 12-10-21 to 12/21/21. LPA also interviewed RCE. Based on record reviews and interviews, it was determined that facility reported multiple falls and other resident events between the dates noted above. Record review determined incidents were reported timely and appropriately. LPA also reviewed charts for Resident1 (R1), R2, R3, R4, and R5. Charts reviewed contained updated appraisal needs and service plans. Facility was toured with RCE. No obstructions to fire exits noted. Facility temperature was 72*F throughout. LPA did not observe any toxins or dangerous items accessible to residents in care. Based on interview, it was determined facility is utilizing an outside service to assist with additional needs of residents as necessary at this time. LPA also reviewed staffing scheduled which shows 4 staff on duty at night, 6 staff on PM, and 8 staff on AM. Based on interviews and record reviews, no deficiencies are cited for today's visit. An exit interview was conducted with Jenna Silva and a copy of this report was left with Jenna.