Incident investigation·September 4, 2025

On 09/04/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit and allowed entrance. LPA met with Administrator Andrea Ramirez to conduct the visit. The purpose of this visit is regarding the incident report recorded on September 2nd, 2025. During this visit LPA Gorban toured the facility conducting health and safety checks, interviewed administrator and resident (R1). Staff (S1) was not available for interview. Per administrator, law enforcement and ombudsman were notified of the incident. LPA requested facility files for review. This case management requires further investigation. There were no deficiencies cited at this time. An exit interview was conducted and a copy of this report provided to administrator for facility records.