Incident investigation·April 30, 2026

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct a case management visit to follow up on an incident report. LPA Valerio met with current administrator Donnabell Galicia, and explained the purpose of the visit. LPA Valerio requested the licensee send the change of administrator paperwork to LPA Valerio and LPA Jamaly by 05/01/2026. According to Unusual Incident Report submitted to the Regional Office on April 30, 2026, Resident 1 (R1) reported severe back pain, appeared appeared restless, more confused than baseline, and reported feeling very weak on April 24, 2026. Pain was rated 9/10. Vital signs were obtained, with blood pressure at 99/60 and pulse at 72. Alpha One was called; paramedics arrived and assessed the resident. Upon their arrival, the resident had difficulty getting up for transfer to the gurney. The resident was transported to Kaiser Morse Hospital for further evaluation. Resident was returned to community the same day with chronic pain and spine fractures. Resident has new prescription...Resident has to have a follow up appointment. Resident to place on status checks. Community to schedule a follow up appointment with PCP for further evaluation." LPA Valerio requested and obtained the following: Resident 1's LIC 602, Appraisal/Services and Needs Plan, and copy of incident reports for January - April 2026, and any supportive documentation No deficiencies were cited during today's visit. An exit interview was held, and a copy of this report was provided.