Incident investigation·June 1, 2023

On 6/1/23 at 11:15am Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Case Management Inspection to deliver the department's findings regarding the reported injury and death of a resident. LPA met with Licensee Cindy Gulesserian and together discussed the department's investigation. The department conducted interviews with facility staff members who witnessed the reported incident. Interview statements were consistent with the report received by the department. According to hospital records and interviews, there is no suspicion of abuse and no concerns were raised by hospital staff. resident's fall was determined to accidental with no foul play suspected. No parties interviewed expressed concerns regarding the facility or the care provided to residents. Residents who were able to be interviewed expressed positive feelings regrading their placement at the facility. All residents who could not be interviewed appeared well cared for. The department has determined the concerns of questionable death to be unsubstantiated. There is not a preponderance of the evidence to prove that an alleged violation occurred. If any additional information is received this determination can be amended and the finding can be changed. There are no deficiencies is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with the licensee. Appeal Rights were issued, and a copy of this report was left at the home.