Incident investigation·April 24, 2025

On 04/24/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced Case Management visit to this facility to follow up on the Unusual Incident/Injury Report (SIR) submitted to the department on 03/20/25. LPA met with Administrator, Azucena Reyes, and the purpose of the visit was discussed. LPA was granted access into the facility. During this visit LPA reviewed resident #1-#2 (R1-R2) files and requested and received the following documents: staff roster, resident roster, copies of Report of Suspected Dependent Adult/Elder Abuse (SOC 341) dated: 02/20/25, and 03/20/25, Admission Agreement, Physician’s Report, Appraisal, and Admission Records for R1-R2. Additionally, LPA conducted interviews with staff #1-#4 (S1-S4), and residents #1-#2 (R1-R2), and conducted an inspection of room #220. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of the Report and Appeal Rights were provided to Azucena Reyes, Administrator.