Facility Evaluation Report
On April 8, 2025 (4/8/25) , Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with Administrator (Admin) Allison Lopez.
On 3/16/25, the department received a death report regarding R1. The report stated that on 3/8/25, R1 was found unresponsive on the floor, at the side of their bed, by caregiver, S1, at approximately 10:20 AM.
LPA requested and received, on 3/25/25, the physician's report, services plan and medication administration records (MAR) for R1.
At today's visit, LPA interviewed Administrator and med tech, S2, regarding the events of 3/8/24.
Administrator stated that procedures for confirmation of residents location and well-being are being updated and staff training is pending.
LPA will conduct additional interviews and collect additional records to continue this incident review.
As a result of this inspection, no deficiencies are cited at this time.
Report reviewed. Copy of report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction