Incident investigation·January 24, 2022

On 1-24-22 at 3:05pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open a case management visit for an incident reported on 1-5-22. LPA met with Regional Executive Director Jenna Silva and explained the purpose of the visit. Administrator Anuradha Saini was notified of LPAs visit and gave permission for Jenna to accommodate LPA and sign in her absence. According to incident report dated 1-5-22, an encounter between two males residents was witnessed by staff on 1-4-22 which required separation of residents. LPA reviewed incident report with Regional Executive Director and interviewed Resident1 (R1) and R2. LPA interviewed RED. LPA attempted to interview Staff1 (S1) who was not available at this time. LPA also conducted a health and safety case management check. LPA observed residents and staff to be wearing masks, hand sanitizer was available at appropriate locations throughout facility. LPA was screened for COVID upon entry. Social distancing was practiced and COVID-19 signage was in place. Facility temperature was at 75*F. Facility was clean and sanitary with no foul odors. Sharp objects, toxins, and other dangerous items were inaccessible to clients in care. LPA screened facility for COVID upon entry. Additional time is needed to complete this case management. LPA will contact Administrator at a later time for completion. An exit interview was conducted with Jenna Silva and a copy of this report was left with Jenna.