Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit to follow up on subsequent visit made on 7/5/2024 regarding resident (R1) who left the facility and passed away outside of the facility. LPA Rai met with the Administrator, Jasmine Latu and stated the purpose of today’s visit.

LPA Rai was investigating R1's death which occurred outside of the facility and was not in hospice services. Based on R1's death certificate, R1's cause of death was probable complication of an existing health condition.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Jasmine Latu and a copy of the report was provided.