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25 | Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced case management visit. LPA was granted entry into the facility by Robin Mendez, Director of Health Services, with whom she disclosed the purpose of the visit.
Today’s visit was in response to an incident which licensee self reported via an LIC624 Incident Report received at the Community Care Licensing Regional Office on November 26, 2024. The report described Resident #1 (R1 – See LIC811 Confidential Names List for identification), complaint of pain during repositioning. R1 had a previous unwitnessed fall and the appropriate procedure was followed and an incident report was completed. R1 did not have any complaints of pain at the time of the fall, the Medical Doctor and responsible party were made aware and recommended at the time to remain at the facility due to R1's ability to complete activities of daily living with no pain.
LPA briefly toured the facility, performed a welfare check on residents in care, interviewed staff, and obtained copies of pertinent facility records. No deficiencies were observed or cited on this date.
An exit interview was conducted, and a copy of this report and Licensee Rights LIC 9058 (03/22) were left with the Robin Mendez, whose signature on this form confirms receipt of these documents. |