Incident investigation·February 5, 2026

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection to follow up on an incident report submitted to the Department on February 4, 2026. LPA met with Alyssa Kayl, Resident Care Coordinator, and Robert DeVol, Health and Wellness Director (HWD) stating the reason for today's inspection. LPA later met with Jose Barajas, Administrator Designee. LPA discussed the incident more in detail when staff went to get (R1) from their room and bring them to the dining room for lunch, and (R1) had started choking while eating." Care staff began the Heimlich maneuver, and then (R1) turned blue, lost consciousness and no pulse was detected. (S1) then began CPR and (R1) began breathing, and was taken to the emergency room for further medical evaluation. The facility was advised by the family that (R1) had been diagnosed with an upper respiratory infection and was doing much better the following morning, January 31, 2026, after being administered antibiotics. (R1) returned to the community on February 2, 2026 with no new medications or diet changes. The HWD stated the family instructed the facility to cut (R1's) food in small bites, with sips of liquid in between each bite. LPA reviewed and obtained copies of paperwork related to resident (R1). The Physician's Report (5/3/2025) does not indicate (R1) had any special diet prior to the incident. Since (R1) returned form the hospital, staff have been trying to encourage and bring (R1) to the dining room for all meals so they can have more supervision/eyes on them. (R1) has been adjusting fairly well to this new routine and has recovered fully from this incident. It appears the facility took appropriate steps in responding timely to (R1's) choking. There are no deficiencies issued in this report. Exit interview. Copy of report provided to Administrator Designee.