Incident investigation·July 5, 2022

On July 5, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management visit to follow up on an incident that was reported to CCLD on June 24, 2022. LPA met with Assistant Director of Health Services, Hazel Yabut and explained the purpose of the visit. The licensee reported on June 19, 2022, Staff #1 (S1) indicated that Resident #1 (R1) may have eaten cat food. Staff found empty food bowls for cats in R1's room. According to the facility, there were no signs and symptoms of pain notes. During the visit, LPA reviewed R1's file and spoke to the assistant director of health services. According to the file reviewed, R1 has a diagnosis of dementia. According to the staff interviewed, there were no witnesses during the time of the incident so the facility is unaware whether resident ate the cat food. In addition, interviewed staff indicated that when staff went into R1's room, R1 had food bowls stacked in his/her room. R1 would not say if he/she ate the cat food or not. According to the Assistant Director of Health Services, the facility moved R1 to another neighborhood due to R1 needing higher level of care. Facility also removed all cat food bowls so it is not visible to other residents. Deficiency of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 is observed and cited on a following page. Report is reviewed with Assistant Director of Health Services, Hazel Yabut and a copy is provided with appeals rights.