Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management visit in regards to two Death Reports received by the Department from the facility for resident R1 and R2 and deliver an immediate exclusion letter for an individual (S1) . LPA met with Interim Executive Director (ED) Brenda Ritter and stated the purpose of the visit.

During today's visit, LPA Rai conducted an initial follow up on a Death Report for resident (R1).

On 03/09/2026, the Department received a Death Report for resident (R1) who passed away at the facility on 03/01/2026. Based on Death Report, facility staff found resident on the floor and facility staff called 911 and paramedics arrived at the scene. During today's visit, LPA Rai obtained the following documents of R1 which include but not limited to R1's Appraisal/Needs and Services Plan, Physician's Reports and Progress Notes. At this time, this case is under review and the Department will conduct a follow up visit, if warranted.

During today's visit, LPA Rai hand deliver an immediate exclusion letter for an individual (S1) who the Department determined engaged in conduct inimical as a staff in the facility. The letter was handed to the Interim Executive Director (ED) Brenda Ritter . ED stated the facilty records show S1 was not employed by the facility, therefore S1 was not present at the facility. ED stated they will ensure all staff prior to working at the facility will o btain a California clearance or a criminal record exemption. ED agreed and understood.

During today's visit, LPA Rai conducted a follow up on a Death Report for resident (R2). On 6/23/2025, the Department conducted a case management visit to follow up on Incident Report/Death Report for resident (R2) who sustained an injury from an unwitnessed fall and passed away at the hospital.