Facility Evaluation Report

Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced visit to investigate the death of client C1. Community Care Licensing Division received a death report at an ARF which led to this investigation.

The client was not in the facility at the time of death. LPA Wesley collected the Face sheet, IPP, Mar log, Physician's report, SIR during the visit. On 03/29/24 at 9am, staffed called 911 because the clients oxygen levels were between 84-86. Client was transported to Coast Plaza Hospital. The MD stated he possible has pnuemonia. They put them on oxygen and gave them an antibiotic though IV. On 04/05/24 the hospital called and said the client was ready to come back, but they had a IV, and the facility couldn't accept the client back due to the IV, so the Hospital transferred the client to a SNF- Elena Villa Health Care on Friday, April 05, 2024. On Monday, 04/08/24 staff at Elena Villa Health Care called 911 at 7:20 am, and the client was transferred to PIH in whiitier. The client passed.

The cause of death is unknown. The licensee was informed when he gets the Death Certificate, to forward a copy to Community Care Licensing Division(CCLD).