Facility Evaluation Report

Allegation: Neglect/Lack of Care and Supervision: Resident #1 (R1) was found hanging by their neck with a belt in R1’s bedroom closet.

Licensing Program Analyst (LPA) Christine Yee conducted a subsequent case management visit to deliver findings for the above allegation. LPA Yee met with Hector Gomez, Assistant Administrator and explained the reason for the visit.

On 05/19/2023, the Woodland Hills Adult and Senior Care Office (RO) received a Death Report (LIC624A form) from the facility for Resident #1 (R1). On 05/16/2023, R1 was found by Resident #2 (R2) hanging by their neck with a belt inside their bedroom closet. On 05/22/2203 the case was referred to the Community Care Licensing Division (CCLD) Investigations Branch (IB) and assigned to Investigator Olivia Spindola.

On 05/23/2023, from 2:00pm to 3:25pm, Licensing Program Analyst (LPA) Christine Yee conducted an unannounced health and safety visit as a result of the Death Report received for R1. LPA Yee met with Hector Gomez, Administrator Assistant and explained the reason for the visit. On 5/19/2023, the Department received an emailed copy of an LIC624A Death Report for R1. Per the information received, the circumstances surrounding the death of R1 on 5/16/2023 may be questionable and needed to be investigated to determine if the facility was in any way culpable for the death. Emergency services, law enforcement and the Coroner's office were called to the facility on the day of R1’s death. During the visit, the LPA conducted a tour of the facility, with emphasis on R1’s room and collected additional documents. The LPA did not visually observe any obvious or immediate danger with the physical plant during the visit. Residents in the designated smoking area were observed to be clean and looked well. The LPA determined