Facility Evaluation Report
Licensing Program Analyst (LPA) Shobhana Frank conducted an unannounced visit for the purpose of conducting a case management visit to follow up on SIR received on 12/3/21. LPA was greeted and granted entry into the facility by Licensee Saba Tesfay.
New resident Abdul Hamed SimJee was admitted to the facility by Silverado Hospice on 11/28/21 to the facility and resident passed away on 11/29/21. Resident reside at the facility for one day.
LPA obtained copy St. Joseph Hospital discharged peppers. Admission agreements. Based on St. Joseph Hospital resident passed away due to End-stage Alzheimer’s dementia.
No citations noted during today's visit. Exit interview conducted and a copy of this report was provided .
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction