1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Martina Berry conducted a Case Management incident Visit at 10:00 AM. Due to the situation surrounding COVID-19 and to implement mitigation measures, this visit was conducted virtually via Microsoft Teams. The LPA met with Administrator Jina Maleksarkissians and explained the reason for the visit.
The Woodland Hills Regional Office received an incident report on 11/19/20 to report an incident that occurred on 11/17/20 involving facility staff (S1) and a resident (R1). The incident report reported alleged abuse to R1 by S1. During the visit, The LPA conducted a facility tour. The LPA interviewed the administrator, staff (S2, S3, and S4) and residents (R2, R3, and R4). The administrator stated that S1 is no longer providing direct services to R1 pending investigation results. The incident was cross reported to the local police department and Long-Term Care Ombudsman. The LPA requested documentation including LIC 500, Resident file, and SOC 341. Additional information is needed regarding this incident.
An exit interview was conducted with Administrator Jina Maleksarkissians. A copy of this report was provided to the administrator via email for signature. |