Incident investigation·November 15, 2023

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Joey Collado and Resident Services Director Amy Salvador. Today's visit was in response to two (2) LIC624 Incident Reports, which licensee self-submitted to the CCLD San Diego Regional Office (received on 08/14/2023 and 08/18/2023), involving Resident #1 (R1). [See LIC 811 Confidential Names List for a description of person identifiers used in this report]. During today’s visit, LPA performed a facility tour and welfare check on R1, finding they were safe. LPA also collected copies of pertinent facility and hospital records and interviewed pertinent staff. No deficiencies were observed or cited during today's visit. One (1) Technical Violation (TV) was issued regarding Reporting Requirements. An exit interview was conducted with Collado and Salvador, 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.