Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced health and safety visit as a result of the Death Report received for Resident #1. LPA Yee met with Hector Gomez, Administrator Assistant and the reason for today's visit was explained.

On 5/19/23, the Department received an emailed copy of an LIC624A Death Report for Resident #1. Per the information received, the circumstances surrounding the death of Resident #1 on 5/16//23 may be questionable and needs to be investigated to determine if the facility is 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 the Resident #1's death.

On today's visit, LPA Yee conducted a tour of the facility, with emphasis on Resident #1's room and collected additional documents. LPA Yee did not visually observe any obvious or immediate danger with the physical plant on today's visit. Residents in the designated smoking area were observed to be clean and looked well. However, it was noted that the facility failed to report the death of Resident #1 to the Department by the next working day during its normal business hours as required by regulations. Documents will need to be obtained and reviewed from the responding agencies noted above and further