I don’t know, worst case whatever fell in will block an oil passage. Probably, it’ll just sit in the lifter valley, swirl around in there for a while and work its way to the oil pan. But it could then get stuck up against the oil pump intake so, yeah, I’d pull the intake if you cannot get to it from above.
That sucks, happened to me when I forgot the reinstall the little hold down plate in the lifter valley once. Had to take it all back apart.
Those little cameras are pretty useful and have a light on the end. The ends are pretty small, I’d bet that it’d fit in there and show the culprit. Big box stores and Harbor Freight probably sell them.