Incident investigation·October 30, 2024

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Executive Director Zoe Rez. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 10/23/2024), involving Resident #1 (R1). [See LIC 811 Confidential Names List for a description of R1.]. R1 had an un-witnessed fall that resulted in a fracture. Paramedics were called and responsible party was notified. During today’s visit, LPA performed a facility tour, collected pertinent records, and interviewed relevant staff. No deficiencies were cited during today’s visit. Technical Violation was issued for reporting requirements. An exit interview was conducted with Reza, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.