Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with District Manager, John O'Brien, to issue a citation in relation to a separate inspection conducted on today's date, 10/25/2024. The following information was obtain from a separate inspection concluded on 10/25/2024:

Interview with Alta California Regional Center (ACRC) Service Coordinator (SC) indicated that they notified the vendors regarding resident (R1's) death, including R1’s day program and the transportation company that provided services to R1. SC stated that R1’s day program reported to them that, on 11/16/2022, the morning in which R1 passed away, they contacted the facility regarding R1’s absence from the day program and was told that R1 was absent due to a behavior at the care home. R1’s day program also reported that the transportation driver showed up at the facility to pick up R1 on 11/16/2022 and overheard staff say “don’t let them know.” Interview with transportation company confirmed they were not informed of R1’s death when arriving to the facility on 11/16/2022 and heard staff say, “don’t tell [them] nothing.” The Department received a recording of a phone call made from the facility to R1’s day program dated 11/18/2022 indicating that R1 “will not be coming in today due to [R1] not feeling well.” Phone call was made from staff member (S5). Representative from R1’s day program stated that they were informed of R1’s death by SC on 11/17/2022 and no one (at the time of interview) from the facility reported R1’s death to R1’s day program. Interview with staff member (S1) indicated that they were going to inform R1’s transportation aide of R1’s death, but they were told by Administrator, Stephanie Henry, not to tell aide. Interview with staff member (S3) indicated that District Manager, Kourtney Hamilton, and Administrator were the ones who stopped S1 from informing R1’s transportation aide of R1’s death.