Incident investigation·August 3, 2022

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Tim Selleck. The Case Management visit was in response to a Suspected Adult/Elderly Abuse form (SOC341) that the facility submitted to licensing alleging that staff S1 verbally abused resident R1. During visit, LPA Marrufo interviewed resident R1 as well as residents R2-R7. LPA Marrufo interviewed staff S1 and staff S2-S5, as well as Administrator Tim Selleck. LPA Marrufo obtained copies of R1's Admission Record, Physician's Report, and Appraisal/Needs and Services Plan. LPA Marrufo obtained copies of the Resident Roster, Staff Schedule, and Internal Investigation Report that the facility conducted in response to the incident, Training Certification Record for S1, and In-Service Training Record for Emergency Pendant Response Time dated 7/13/2022 for all staff. The Internal Investigation Report stated that the response plan for the facility will be to always have another staff accompany S1 when assisting R1. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Tim Selleck and a copy of the report was provided.