Facility Evaluation Report

On 04/11/22 Licensing Program Analyst, LPA Ernand Dabuet conducted a Case Management visit to follow up on the death reported for Client #1 (C1). LPA was greeted by the Program Director Claudio Rosas. LPA explained the purpose of the visit was to gather information surrounding the death of (C1).

On duty desk received a copy of the death report from the facility and reported the death of (C1) on 04/07/22. The death report stated on 03/31/22 Harbor Regional Center Service Coordinator Cady Laycook notified Rosas that (C1) had passed at Coast Plaza Hospital, for unknown reasons. According to Rosas, (C1) was admitted to Harbor UCLA for a fall that took place on 12/20/21 for a head injury. (C1) was taken to Beachside Post Acute on 01/05/22. While at Beachside (C1) suffered another fall and G-Tube infection and was taken to back Harbor UCLA. On 02/03/22 (C1) was admitted to InterCommunity Care Center and was at this nursing home until 03/25/22. (C1) was sent to Coast Plaza Hospital for oxygen saturation and experienced weakness and passed away 03/31/22.

Physician Report for Community Care Facilities

LPA conducted an interview with staff #1.

An exit interview was conducted with Claudio Rosas and a copy of report was provided.