Facility Evaluation Report

California Mentor - Malabar Home, Castro Valley11/08/2023Licence 019200735

Capacity4
Census3
Date signed11/08/2023 01:13:19 PM
The inspector’s account

On 11/8/2023 Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced case management visit regarding upon missing death report regrading a client that pass away at Eden hospital. The special incident report that submitted to CCLD on 11/3/23. LPA spoke with Abigail Cruz program supervisor and explained the purpose of the visit.

LPA interviewed staff (S1) regarding client (C1) care prior to the incident. LPA obtained death report, progress notes/ care notes, and the after-visit summary C1 was admitted to the hospital. After reviewing the documents C1 was places on hospice care on 11/1/23. C1 was seeing by C1 internal medicine doctor on 10/12/23 to access C1 medical condition. S1 stated that according to the doctor C1 was doing fine. After reviewing documents C1 cause of death is aspiration pneumonia, sepsis, and acute hypoxic respiratory failure.

No deficiencies cited. Exit Interview conducted and a copy of this report provided via email.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction