Facility Evaluation Report

On 12/15/2025 at 3:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 12/7/2025. LPA met with Executive Director, Chelsea Espinoza and explained the purpose of the visit.

LPA received death report on 12/7/2025 for resident (R1). Death report revealed that R1 ate a few bites before walking around and suddenly sat down on a chair in the hallway. Staff noticed R1 turned pale and became unresponsive. Staff called 911 and began CPR until paramedics arrived. Paramedics continued CPR and unable to revive R1. Local police indicated no foul play and R1 died of natural causes.

During visit, LPA reviewed R1's file and obtain emergency information, physician's report, care plan, staff contact information, and local police officer's information.

Exit interview conducted. A copy of this report provided.