Facility Evaluation Report

On 04/25/23 Licensing Program Analyst, LPA Ernand Dabuet conducted a Case Management visit to follow up on the death reported for resident#1 (R1). LPA was greeted by Ginger Enriquez and explained the purpose of the visit was to gather information about the death of (R1).

The regional office received a copy of the death report from the facility and reported the death of (R1) on 04/21/23. The death report stated on 04/20/23 (R1) was pronounced dead at 2:00 a.m. at Harbor UCLA Medical Center. Castro was sent to the hospital on a emergency medical services (EMS) and was admitted at the hospital on 04/19/23 due to a fall in the resident's bathroom in the facility. At 5:10 a.m., Castro's roommate resident #2 (R2) contacted (EMS) directly. The facility is unable to obtain detail information surrounding the cause of the death as it is under investigation. Interviews conducted with staff #1-#3 (S1-S3) and resident #2 (R2) were performed on this visit.

Physician Report for Community Care Facilities,

Medical Treatments (Carson Avalon Dialysis, Harbor UCLA, Providence of Mary)

An exit interview was conducted with Ginger Enriquez and a hard copy was provided.