Incident investigation·June 21, 2024

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Brandon Cho. Today's visit was in response to a licensee self-submitted report to the CCLD San Diego Regional Office (received on 06/18/2024), involving Resident #1 (R1). [See LIC 811 Confidential Names List for a description of select person identifiers used in this report]. According to the incident report R1's xray revealed a fracture in right foot, unknown origin. During today’s visit, LPA performed a brief facility tour and welfare check on R1, finding no safety concerns. LPA interviewed resident and outside source. LPA also collected copies of and reviewed pertinent records. According to R1’s latest medical x-ray report (dated 6/13/2024) R1 foot showed no acute fracture, chip or dislocations. Based on the evidence, no deficiencies were cited for the incident. Also, no deficiencies were observed during today’s visit. An exit interview was conducted with Administrator Cho, 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.