Follow-up·April 14, 2025

Licensing Program Analyst (LPA) Sanjay Vaid conducted an unannounced Case Management Visit at 1210PM to follow up on a clients’ drug overdose. LPA met Administrator Joel Niblett and explained the reason for the visit. Per Unusual Incident Report received on 03/31/2025, on 03/29/25 at 12pm resident was found by staff conducting usual check on the residents. Staff found R1 in their room with a syringe in their neck unresponsive and called 911 and was taken to USC Arcadia. R1 was treated and release on 03/30/25 with diagnosis of substance abuse disorder. R1 was prescribed OTC and prescription medicines only as ordered by the hospital physician. On 03/30/25 after R1 had returned to the facility, at approximately 0940AM staff heard thumping noise coming from R1’s room, staff found R1 confused with swelling and discoloration over their eyes and head. 911 was called. EMS and staff noticed a white substance sprawled over R1’s clothing and found syringe and spoon along with white powdery substance. Temple City Sherriff deputies confiscated the syringe, spoon and white substance. R1 was transported to USC Arcadia for further evaluation and treatment. Upon release from the hospital, R1 was placed into a skilled nursing facility for higher level of care. R1 will remain at the skilled nursing until R1’s POA can locate a facility that R1 can be placed. Staff spoke with R1’s POA and R1 was discharged from Santa Anita Assisted Living and transferred to the skilled nursing facility on 04/01/25. No deficiencies observed during today's visit. Exit interview held and a copy of the report was provided to the Administrator.