Facility Evaluation Report
On 9/10/2021 at 3:40PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Sophia Tekle and explained the purpose of the visit.
LPA received death report on 8/30/2021 for client (C1). Death report revealed that C1 passed away at the hospital on 8/29/2021.
Interview with S1 revealed that 911 was called on 8/8/2021 for C1 due to labored breathing. C1 was diagnosed with an infection and was treated at the hospital. C1 passed away at the hospital on 8/29/2021 due to acute/chronic respiratory failure.
LPA reviewed C1's physician's report and care notes. LPA observed that C1 has a diagnoses of COPD.
No deficiencies are being cited on this date.
Exit interview conducted. A copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction