Incident investigation·January 25, 2022

LPA's T. White and M. Jensen arrived at this facility unannounced on 01/25/2022 at 12:30 PM to conduct a case management visit. LPA's T. White and M. Jensen met with Executive Director Mary Margaret Chapell and explained the purpose of the visit. The purpose of the visit is to follow up on an incident report received on 12/29/2022. The report stated on 12/19/2022 at 2:30 PM, R1 walked up to R2 and pushed her. R2 became defensive and hit her back with an open hand causing a small scratch to R1's left side of face. R1 and R2 were separated and directed away from each other. LPA's interviewed two staff members and reviewed R1 and R2's file documentation. Based upon interviews conducted on 01/25/2022 and facility records, the client has a history of aggressive behavior. LPA's discussed facility plan to prevent and mitigate further acts of aggression and plan proposed was appropriate. LPA's determined there has been no further incidents of concern to date. Based on documentation, facility failed to meet the 7 day reporting requirement for Special incident reports. The incident occurred on 12/19/21 and the facility submitted the special incident report on 12/29/21. The following deficiency was observed and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalty. Exit interview conducted and appeal rights given.