Senior Care Records.

Facility Evaluation Report

White Rose Guest Home, Rowland Heights09/10/2021Licence 198603045

Capacity4
Census3
Date signed09/10/2021 01:43:23 PM
The inspector’s account

Licensing Program Analyst (LPA) Kruz Long conducted a Case Management visit to follow up on the death of Client #1. LPA met with Claudia Contreras (Administrator) who assisted with the visit.

During today's visit, LPA interviewed Staff #1 at 12:30 pm in the dining area. Staff #1 stated on 09/04/21 at approximately 12:14 pm, Staff #2 went to check on Client #1 in the bedroom and found Client #1 to be unresponsive. Staff #2 called Paramedics and performed CPR on Client #1 while waiting for Paramedics to arrive. Paramedics arrived in about 5 minutes and was unable to revive Client #1. Paramedics pronounced Client #1 had already passed away. Sheriffs Department arrived and interviewed Staff and conducted a facility check. Family member arrived to the facility at about 1:36 am and coroner arrived at the facility about 8:40 pm.

Copies of the following documents were obtained during today's visit:

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