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 | On 6/20/2023, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to follow up on the incidents that the facility has reported to CCL. LPA met with the administrator and explained the purpose of the visit.
On 6/5/2023, facility reported resident #1 (R1) hit resident #2 (R2) and subsequently hit resident #3 (R3). R2 did not sustained any injuries; R3 sustained injuries and was sent to the hospital and returned on the same day.
On 6/19/2023, facility reported R1 hit resident #4 (R4) and both residents were assessed after the incident and no injuries were noted.
After the incidents, facility conducted assessments for all residents involved, transferred R1 to the hospital for further assessment/evaluation, provided half hourly and hourly rounds to check on R1, updated R1's service needs/plan, notified resident's responsible parties, local law enforcement, Community Care Licensing, Adult Protective Services (APS), Ombudsman and attending physicians.
During today's visit, LPA interviewed the administrator, reviewed documents provided by the facility and observed residents involved.
According to the administrator, since R1's return from the hospital, there was no new incidents between R1 and other residents. In addition, the facility has implemented the following actions to prevent any incidents from happening again: staff continued to provided frequent rounds to check on R1 as indicated on the updated service needs/plan, facility has made arrangements for R1 to be in a private room, staff provides supervision whenever R1 leaves the room to ensure safety and work with San Francisco Department of Public Health on discharge planning.
|