Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management visit to investigate the death of R1 that occurred on 10/13/2022. LPA spoke with the licensee/administrator Juliet Pacaldo via telephone to discuss purpose of visit. LPA met with facility manager Tess Yee.

The Department received all documents requested from the facility on 10/13/2022. LPA discussed specifics with Tess in person and Juliet via telephone. According to them the death occurred off site while R1 was out with a friend. The friend routinely took R1 out for lunch and is a recognizable and familiar visitor. Visitor log is reviewed and it confirmed the frequency of visits that was made to R1. The facility does not have specifics due to this death being investigated by Daly City Police Department (DCPD). Next of kin and responsible parties have been notified and involved. Facility does not have information regarding time and location of death due to the ongoing investigation with DCPD. Facility has requested a death certificate to be provided from Coroner but has not yet received. A case number is provided to LPA as well as the contact information of the dectives investigating the case.