Facility Evaluation Report
On 6/27/2024 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to special incident report received on 6/24/2024. LPA met with Program Director, Joseph Gapasin and explained the purpose of the visit.
LPA received special incident report on 6/24/2024 for resident (R1). Special incident report revealed that R1 went for a walk with staff. R1 lost balance and collapse to the ground. Staff caught R1 before falling to the ground. 911 was called and R1 was sent to the hospital. R1 passed away at the hospital.
LPA interviewed staff and obtained documents including staff schedule physician's report, IPP, ISP, other SIR, and care notes.
Exit interview conducted. A copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction