Incident investigation·April 19, 2021

On today's date Licensing Program Analysts (LPA) Rosie Quiroz contacted the facility via telephone to conduct a Case Management visit telephonically due to the COVID-19 Pandemic and pre-cautionary measures. LPA Quiroz spoke with Administrator Tanja Olano, and discussed the purpose of the visit. The purpose of this Case Management visit was to follow-up on two different self reporting special incident report (SIR) received in the Orange County Regional Office on 4/16/2021 regarding Resident (R1) and (R2). On or about 11:18am, LPA Quiroz along with Administrator Olano conducted a virtual tour utilizing Face-Time of the interior of the facility. LPA Quiroz also conducted interviews with Administrator and medication technician on site. LPA Quiroz also requested copies of pertinent records from the files of (R1) and (R2). There were no deficiencies issued during this Case Management visit. An exit phone interview was conducted with Administrator Olano. This report will be sent via email to Administrator Olano who agrees to sign and date the report. This report was sent via email and an electronic read receipt confirms receiving the report. Administrator Olano agrees to return the sign report.