Incident investigation·September 27, 2024

Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced Case Management – Incident visit at 11:50 A.M. for the purpose of investigating self-reported incident reports. Upon arrival, LPA met with Executive Director (ED), Michael O’Niell, and explained the reason for the visit. Entrance interview conducted. The purpose of today's inspection is to follow up on two (2) self-reported incident reports that were submitted to the Woodland Hills Regional Office late on 09/23/2024. According to the reports, on 09/22/2024, Staff #1 (S1) reported to Staff #2 (S2) that they witnessed Staff #3 (S3) swatting Resident #1 (R1) on their wrist while transferring them from the toilet to their wheelchair. Additionally, it was also reported that S3 allegedly swatted Resident #2 (R2) on the bottom while assisting with a diaper change. During today's visit, the LPA toured the facility with ED, conducted interviews and gathered copies of pertinent documents and police report number. ED stated that police report is expected to be delivered in a few days. No immediate health and safety concerns were noted during today's facility tour. Further investigation is required at this time. An additional report may follow, if warranted. Exit interview conducted. A copy of the report was provided.