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25 | On this day, Licensing Program Analyst (LPA) Raygoza made an unannounced subsequent Case Management virtual facetime visit in regards to the incident occurrence of February 25, 2021, that facility had self reported. LPA Raygoza stated purpose of Case Management to Juliet Pacaldo, administrator.
LPA Raygoza requested Plan of Care for R1 and R2 as follow up from February 12, 2021 occurrence and February 25, 2021 incident occurrence. Eviction Notice for R2 was given and submitted to CCL Office on February 26, 2021.
A copy of R1 and Resident 2 (R2)'s Physician's Reports were received and viewed. The police incident case number was requested along with the Plan of Care for R1 and R2. Administrator will provide an addendum to the February 12, 2021, Unusual Incident Report. Administrator provided revised copy of February 25, 2021 incident occurrence to CCL Office. Plan of care to be submitted to CCL Office for R1 and R2 steps and measures to prevent a reoccurrence of incident. R2 currently monitored every hour and accordion door on second floor remains closed. Physicians believe there are triggers for R2's behavior and that medication is not an issue at this time.
This report was reviewed and discussed with Administrator, Juliet Pacaldo and
an electronic copy of this report was emailed to Juliet for signature. |