Senior Care Records.

Facility Evaluation Report

Universal Homes II, Bonita05/17/2024Licence 374604575

Capacity4
Census3
Date signed05/17/2024 05:20:37 PM
The inspector’s account

Licensing Program Analyst (LPA) Marisela Garcia-Centeno made a Case Management visit to follow-up on a client's death. LPA was granted entry into the facility by Administrator, Joanne Chrisostomo, to whom she disclosed the purpose of the visit.

A Incident Report was received by Community Care Licensing (CCL) on May 16, 2024, informing that Client #1 (C1) [staff was provided an LIC 811 that identifies the client] passed away on May 16, 2024, at a skilled nursing facility after being discharged from the hospital. C1 had been admitted to the hospital on April 5, 2024 for weak respiration. According to information provided to CCL, the cause of death was chronic aspiration pneumonia.

During today's visit, LPA conducted a tour of the facility, obtained all relevant records for C1 and conducted interviews with staff.

No deficiencies were cited during today's visit.

An exit interview was conducted with Administrator, Chrisostomo, to whom a copy of this report, LIC 811 List of Confidential Names and the appeal rights (LIC9058 03/23), was provided at the end of the visit.

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