Facility Evaluation Report
On 3/9/2026 at 11:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 2/17/2026. LPA met with caregiver, Sam Htet and explained the purpose of the visit. Administrator, Jezrael Pascual arrived 30 minutes later.
Death report stated that staff found resident (R1) not breathing and responding. Staff immediately informed licensee, administrator, and responsible person.
LPA interviewed staff and reviewed R1's files. R1's physician's report dated 9/17/2025 stated that R1 had diagnosis of Alzheimer's Dementia, hypertension, diabetes, hyperlipidemia, etc. R1's discharge summary notes dated 2/9/2026 revealed that R1 was discharged with home health care and diagnosis of hypertension, dysphagia, seizure, Alzheimer's Dementia, etc.
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