Complaint Investigation Report

On 05/09/23, a second subsequent visit was conducted by Licensing Program Analyst (LPA) Tao. LPA met with administrator, Jason Chuang. LPA conducted staff interview of hospice care nurse; reviewed some resident records; and toured the physical plant. LPA obtained staff / resident roster and some residents records requested from last visit. LPA requested additional residents’ records including residents’ death certificates in year 2020.

On 05/16/23, a third subsequent visit was conducted by Licensing Program Analyst (LPA) Tao. LPA met with administrator, Jason Chuang. LPA obtained and reviewed residents’ records and conducted a facility tour during the visit. LPA delivered the findings and discussed the findings with administrator Jason.

Interviews of residents and staff consisted of the following:

LPA interviewed residents from resident#1 (R1) to resident #6 (R6) and attempted to interview resident #8 (R8) multiple times but failed to interview R8 due to the loss of contact after R8 moved out. LPA was unable to interview residents of resident#7 (R7), resident#9 (R9), resident#10 (R10) and resident#11(R11) due to residents were deceased in 2020.

LPA interviewed staff from staff#1 (S1) to staff#3 (S3) and staff#7 (S7). LPA attempted to interview staff from staff#4 (S4) to staff#6 (S6) multiple times but failed to interview S4 to S6 due to the loss of contact since they were no longer working at the facility.

LPA also interviewed resident#7’s family member (F1).

The investigation revealed the following:

In regard of allegation #1- “questionable death,” it was alleged that many residents have passed away and resident#9 (R9) was choked on food while staff was feeding R9 and died later that day. LPA interviewed residents, six (6) out of seven (7) residents interviewed could not corroborate the allegation. (-continued in LIC9099C-)