Follow-up·March 27, 2023

On 3/27/2023 at 1:30PM, Licensing Program Analysts (LPAs) G. Luk and K. Nguyen arrived unannounced to conduct a Case Management visit in regards to death report received on 3/22/2023. LPAs met with Executive Director, Aireen Tibon. LPAs received death report on 3/22/2023 for resident (R1). Death report stated that resident was found on the floor unresponsive and staff called 911. Police arrived on scene. LPAs interviewed two staff who stated PM shift provided medications to R1 at around 8-8:30PM and R1 was doing well with a good appetite. Record review indicated that R1 was diagnose with hypertension. When S1 arrived at R1's room for morning meds at around 5:40AM, S1 found R1 unresponsive on the floor. S1 called for assistance and called 911. No deficiencies were cited on this date. Exit interview conducted. A copy of this report provided.