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25 | Licensing Program Analyst (LPA) Wolter contacted the facility on 10/09/2020 via telephone due to COVID-19 and precautionary measures to follow up on an Incident Report (LIC 624) that Community Care Licensing (CCL) received on 10/09/2020. LPA spoke to Acting Executive Director (ED), Danielle Twitchell, and explained the purpose of the call.
Incident report stated that on 10/05/2020 a resident (R1) disclosed an alleged event that occurred with a caregiver from an outside agency a few weeks prior. Upon learning of the event Acting ED cross reported to all required parties and the caregiver in question has not returned to the facility.
LPA and Acting ED discussed the cross reporting further and what steps were taken after the alleged incident was disclosed. The caregiver involved has not returned to the facility and the incident was reported to the staffing agency. Sheriffs department, ombudsman, responsible party and primary physician were all notified. Acting ED stated R1 has been fine following the incident.
LPA requested that Acting ED send CCL a copy of the SOC 341 and Sheriff's Incident number.
No deficiencies are being cited today. Further investigation may be required into the alleged event.
Exit interview conducted and copy of report emailed to facility. Facility representative to sign the report and email or fax CCL a copy. Facility should also retain a copy for their records. |