Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Associate Executive Director Aileen Spence.

Today's visit was in response to an LIC624C Death Report, which licensee self submitted to the Community Care Licensing Department San Diego Regional Office on March 25, 2025. The LIC 624C report described a resident who was on Hospice care was being closely monitored by hospice after a recent fall with a brain bleed.

LPA briefly toured the facility, performed a welfare check on residents in care, interviewed staff, and obtained copies of pertinent facility records. No immediate health or safety risks were observed. Additional case management will be provided for this incident, including subsequent visits and staff interviews, as needed.

An exit interview was conducted, and a copy of this report and Licensee Rights LIC 9058 (03/22) were left with the Associate Executive Director, whose signature on this form confirms receipt of these documents.