Follow-up·July 22, 2024

Licensing Program Analyst (LPA) Carmen Lopez made an unannounced visit to the facility to deliver findings for complaint investigation and in conjunction conduct this case management visit. LPA identified herself and was granted entry by Sharon Hays, Activities Coordinator. LPA met with Executive Director Jay Agustine and discussed the purpose of today’s visit. During the complaint investigation, control # 08-AS-20240418105131, the following was discovered: on 04/18/2024, the San Diego Regional Office (SDRO) received an incident report (IR) for resident #1 (R1). The IR reported that on 04/15/2024 R1 was found on the floor at 9:00 AM. According to the report staff immediately initiated 911 where paramedics transported R1 to the hospital. Upon further review of facility records, the charting notes state that R1 had fallen twice on 4/15/2024 and emergency response was initiated two (2) hours after the initial fall due to staff being unable to speak with R1. According to the IR, R1 was confused, pale and very weak. Based on the evidence obtained during the complaint investigation, deficiencies were observed and being cited during today’s case management and may be reviewed on the LIC809-D page of this report. An exit interview was conducted, a plan of correction was jointly developed with Executive Director Jay Agustine. A copy of this report, LIC811 and the Licensee Rights (01/2016) were provided to Executive Director Agustine at the conclusion of the visit. The signature below serves as confirmation of receipt of these documents.