Incident investigation·June 25, 2023

Licensing Program Analyst (LPA) Kimberly Ramirez and Regional Manager (RM) Araceli Ramirez conducted an unannounced Case Management visit to the facility on 06/25/23 and gained entry into the facility at 12:59 pm, to perform health and wellness check and gather information regarding two recent (2) resident deaths at the facility. LPA Ramirez and RM Ramirez were greeted by Administrator Jung H. Kim and explained the purpose of the visit. The facility is located on a residential street and is a single-story home. LPA Ramirez and RM Ramirez conducted physical plant tour, interviews of Staff #1- 2 (S1- S2), attempted resident interviews #1 -4 (R1 -R4), copies of staff files (S2,S3), copies of resident files (R1-R6), staff roster, resident roster and any other pertinent documents related into this investigation. No immediate hazards were observed during visit. Additional information is required, and this licensing agency may return to gather additional documentation and interviews. A copy of this report is being provided to Administrator Kim.