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25 | Licensing Program Analysts (LPAs) Teresa Camara and Valeria Conway conducted a Case Management - Incident visit regarding a self-reported incident on 1/30/2024. LPAs were joined by Tri-Counties Regional Center Quality Assurance Specialists (QAs) Liz Aced-Arnett and Patrick Brown. LPAs met with administrator Danshelle Day and director Joanna Iniguez and explained the reason for the visit.
On 1/30/2024, client 1 (C1), attacked a nurse at the facility causing injury to the nurse. Emergency services were called and C1 was arrested.
Typically the nurse calls the facility prior to visiting so they can distract C1 as C1 has a history of attacking this nurse. Unfortunately, on 1/30/2024, the nurse did not call ahead of time. C1 was with their one to one (1:1) staff exiting the facility to the van when the nurse was walking up the driveway. C1 pulled the nurse down and caused a head injury.
Based on C1's history, the facility had a plan to manage these behaviors but they were unable to prepare for the nurse's visit because they were not called ahead of time.
No deficiencies were observed. Exit interview conducted and report issued. |