Follow-up·June 8, 2022

On 06/08/22 at 1:30PM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of a Death Report dated on 06/02/22 submitted to CCLD regarding unknown cause of death. LPA explained the purpose of the visit with administrator Dolly Rizvi. Administrator stated to LPA that subject resident has a history of acute posthemorrhagic anemia and had been in baseline until passed. LPA obtained resident's preplacement appraisal, appraisal/needs and services plan, physical therapy notes, care notes, and staff schedule to review. LPA also interviewed 2 staff (S1 & S2) during visit. Both staff stated that they have not noticed resident's health condition has been changed while in care. Return to facility for further information maybe needed. Exit interview conducted with Administrator and a copy of this report provided.