Incident investigation·July 7, 2022

At approximately 2:00PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case-Management - Incident visit, and met with Administrator, Mikayla Mehleisen . The purpose of the visit was to follow up on a self-reported incident submitted to Community Care Licensing (CCL). LPA spoke with Administrator regarding an incident report that was received by CCL on 6/13/2022. Incident report stated that Resident 1 (R1) reported to family that a caregiver exposed themselves to R1. Facility conducted investigation and determined that available facility caregivers, residents, and visitors do not fit caregiver description. Facility is having two employees attend to R1 care needs. Per R1's family, camera in R1's apartment did not note anything on recordings. Facility made all appropriate notifications per regulation. LPA and Administrator discussed the rules regarding cameras in resident rooms. Facility will have to submit a waiver and/or exception, and Facility Plan of Operations and Facility Admission Agreement will have to be updated. LPA provided Administrator with Resource: Guidelines for Video Surveillance. No Deficiencies Cited during visit.