Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator Naward Hernandez. The purpose of the visit was to follow up with a Death Report submitted by the facility on 09/27/2023. The Death Report was for resident R1, who choked on a croissant in the facility on 09/13/2023. R1 was sent to the hospital, where R1 became deceased on 09/26/2023.

During visit, LPA Marrufo obtained copies of the following documents: R1's Physician's Report, Appraisal/Needs and Services Plan, and Individual Program Plan.

R1's Physician's Report states R1 did not have a special diet and was able to feed self. R1's Appraisal/Needs and Services Plan does not mention R1's feeding needs and capabilities. R1's Individual Program Plan states R1 is able to feed self with a fork and spoon without spilling.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Administrator Nawada Hernandez and a copy of this report was provided.