Incident investigation·January 21, 2025

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced Case Management - Incident visit to follow up on an Incident Report (LIC 624) received by the department on 01/10/2025. Upon arrival, the LPA met with Executive Director (ED), Scott Keawekane and explained the reason for the visit. Entrance interview conducted. The written report stated that on 01/10/2025 at approximately 1:05am, Staff #1 (S1) reported that at 12:50am while assisting Resident #1 (R1) with repositioning, R1 began to caress S1’s arm. Although S1 told R1 “not to do that” and attempted to back away from R1 but was unsuccessful. S1 pushed R1 back and left room. S1 reported incident to Staff #2 (S2) and Staff #3 (S3) after leaving R1’s room. Ventura County Sherriff’s department were also called and arrived at the facility shortly after. During today’s visit, LPA Arroyo conducted a physical plant tour at 2:39pm, interviewed two staff and one resident between 2:50pm and 3:30pm, and obtained copies of pertinent documents. The LPA will return at a later date to complete the investigation if warranted. No immediate or potential health and safety concerns noted at this time. Exit interview conducted and copy of report issued.