Incident investigation·April 28, 2022

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced case management visit to follow up on an incident report dated 04/20/2022. LPA was greeted and granted entry into the facility and explained the reason for the visit to Kameshi Taylor, Executive Director. Incident report indicated Resident 1 (R1) went to Hoag Hospital due to low blood pressure and edema to lower extremities on 04/05/2022. R1 remained in hospital care until passing on 04/13/2022. Per interview with Bernadette Sajia, Assisted Living Program Director (LVN) R1 home health nurse was visiting and noticed blood pressure was low and a low grade fever. Home health nurse recommended transferring R1 to hospital and 911 was called. During the visit, LPA reviewed LIC 602, LIC 601 and needs and services plan. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.