Senior Care Records.

Facility Evaluation Report

Olivia Isabel Manor, Carson10/26/2022Licence 198601766

Capacity110
Census90
Date signed11/02/2022 05:38:13 AM
The inspector’s account

On 10/26/22, 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 Ana Kunz and Dario Esguerra and explained the purpose of the visit was to gather information surrounding the death of (C1).

The regional office received a copy of the death report from the facility and reported the death of (C1) on 10/21/22. The death report stated that (CI) passed away on 10/20/22 at Southern California Hospital in Hollywood. (C1) was under hospital care when she passed away with terminal health condition. The hospital notified the facility. The facility notified the family representative.

Physician Report for Community Care Facilities,

An exit interview was conducted with Ana Kunz and a hard copy was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction