Senior Care Records.

Facility Evaluation Report

Elwyn California - Traviso, Livermore01/24/2025Licence 019200720

Capacity4
Census3
Date signed01/24/2025 11:30:06 AM
The inspector’s account

On 1/24/2025 at 9:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 1/19/2025. LPA met with Administrator, Sophia Tekle and explained the purpose of the visit.

Death report revealed that C1 passed away at the hospital on 1/19/2025 due to acute GI bleeding. C1 was admitted to the hospital on 1/13/2025 for possible pneumonia.

LPA interviewed staff and reviewed documents including C1's physician's report, doctor's visit report, and facility notes. C1 had a history of GI bleeding. C1 was sent to the hospital on 1/13/2025 due to low grade fever and possible pneumonia. Staff was communicating with ICU nurse on a regular basis regarding C1's condition. C1 had GI bleeding while at the hospital and blood transfusion was done. Hospital called the facility on 1/19/2025 to inform staff of C1's passing.

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