Incident investigation·August 16, 2022

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management and met with Administrator Stacy Vermeulen. The purpose of this case management inspection is to following up on a self reported incident report, SOC 341, submitted to Community Care Licensing (CCL). CCL received a self report incident report and SOC341 form on 7/13/2022 reporting on 7/5/2022 resident's (R1) family member notified facility R1 was missing $50 dollars from wallet (kept in night stand) and R1 also informed there was an additional $400 dollars missing from tea box in R1's kitchen cabinet. Administrator conducted internal investigation and obtained statements. Submitted reports cross reported to Petaluma Police Department and responsible party notified. LPA made copies of internal investigation notes, records, conducted interviews and made observations. Administrator agrees to inform LPA when investigation is complete and how facility is going to proceed regarding second incident of alleged stolen monies. There has not been any other like incident's in the facility since. No deficiencies cited during today's inspection.