Facility Evaluation Report
On 7/12/23 at 1:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct a case management visit due to receiving a death report with incorrect dates. LPA met with Stephanie Brice, Administrator and explained the purpose of the visit.
LPA interviewed Resident Care Director (RCD) who wrote the death report. The death report stated R1 was found unresponsive on May 31st in her apartment by care staff. R1 was transported to Kaiser Oakland. The report then states R1's responsible party called the facility on May 1st to report R1 passed away due to a cerebral stroke. The correct date should have been June 1,2023.
LPA reviewed R1's file: move-in date 1/28/22 with a diagnosis of TRA (transient ischemic attack), a DNR dated 2/16/22. R1 was categorized as independent. No other outstanding health conditions or concerns were noted.
LPA advised RCD to submit a corrected death report. Corrected report received during visit.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction