Incident investigation·September 15, 2022

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting a case management and met with facility Administrator, Charito Santos. LPA is following up on a self-incident report and SOC 341 filed by the facility Administrator to CCL on 9/7/22. The incident is involving resident (R1) aggression towards another resident (R2) in care at the facility. On 9/5/22 around 7:30am staff heard some arguments outside the office window, they went outside and observed both residents arguing with each other then R1 grabbed R2's walker and shook it making R2 to fell to the ground, R1 threw the walker away from R2. Staff was going to contact 911, but resident R2 stopped them, R2 said that they were fine. Licensee spoke to R1 who said that resident didn't do anything wrong, case workers were notified. Upon receiving the incident report and SOC341 LPA had a discussion with the Administrator following the incident of 9/5/22 and Administrator informed LPA that case workers were notified and they hold a meeting last week were R1 apologized to R2 for the incident. R2 was seen by their primary doctor next day after the incident and no new medications changes. During today's visit, LPA reviewed documents and determined that the Administrator has taken appropriate measures to address the aggressive behaviors exhibited by the resident. No citations issued at this visit.