Incident investigation·April 25, 2022

This unannounced case management visit is being conducted by Licensing Program Analyst (LPA), Kathrina Chin. LPA met with Sarah Cleesen, Executive Director and explained the purpose of the visit. This is a follow up to an incident report which occurred on 12/5/2021. The facility caregiver discovered a resident was deceased at 8:25 am on 12/5/ 2021 in his apartment unit. The medication technician called 911 emergency personnel and was advised to do chest compression until paramedics arrived. The paramedics and the police arrived at the community and the body was released to the Mortuary. LPA requested a copy of the resident 1's physician's report, Needs and Services plan and pre-admission appraisal. Sarah Cleesen, ED stated that she will be looking for the file for the resident tomorrow with her Regional Director. At this time, based on the information available, there are no deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview interview was conducted and a copy of this report provided to the facility.