Facility Evaluation Report
Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct a case management visit to follow up on an incident report submitted to the Department. LPA met with designated staff person Misty Veloz, and explained the purpose of the visit.
On 12/12/23, The Department received an Unusual Incident/Injury Report submitted by Resident Services Director Misty Veloz. On 12/12/23, Resident 1 (R1) was found laying on the floor of the bathroom after R1's spouse altered staff via pull cord. R1 was sent to the hospital and received a diagnosis of a fractured hip.
LPA requested additional information regarding R1 (LIC 602, Needs and Service Plan, Death Report, and any supportive documents) be sent to LPA Valerio.
According to an interview with staff, R1 had previous health conditions and was on hospice prior to passing away.
No deficiencies are being cited on today's visit.
An exit interview was held, and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction