Senior Care Records.

Facility Evaluation Report

Midomar Homes III, Monterey Park09/30/2025Licence 197800590

Capacity4
Census1
Date signed09/30/2025 04:04:47 PM
Name of licensing program analystAlberto Lopez
Name of licensing program managerLisa Hicks
The inspector’s account

Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to follow up on death of client.

C1 was transported to Monterey Park hospital on 09/19/2025. Administrator stated he observed client to be tired and sad. Also, day program staff told Administrator that client had bad appetite for about 2 weeks and was declining to eat. Administrator stated client was eating normally until 09/19/2025. In the afternoon on 09/19/2025 during dinner time, client refused to eat regular food but eat blended food At 7:00 pm. Administrator observed client sad and weak and contacted his physician and his physician asked to take client to emergency room. At that time Administrator spoke with conservator/mother and she transferred to her daughter to translate. Mother agreed for staff to transport client to hospital. Client arrived at 7:45pm at the emergency room 09/19/2025. Client underwent tests and was sedated until 6:00 am for blood sample. Client was transfer to regular bed in room 104 on 09/20/2025 at around 7:55am. Client was sedated until Sunday 09/21/2025 and opened his eyes at around 9:00 am and he appeared better and recognized administrator and other staff and even leaned his face on hand of Administrator. Administrator thought he was ok. After that, Administrator stated he visited Monday morning at around 09:00 am and observed client intubated and sister who was spend the night with client told administrator that client suffered massive seizure overnight. On 09/23/2025, client was transferred to ICU and Administrator arrived at around 10:00am that day. Client was observed with difficulty breathing and on 09/26/2025 client passed at 1:29am.

LPA took tour of facility, interviewed administrator and one (1) client. LPA did not observed any health or safety concerns during visit. No signs of foul play observed.

No deficiencies observed or cited. Exit interview conducted with Administrator and copy of report provided.

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