Follow-up·May 17, 2021

Licensing Program Analyst (LPA) Dawn Segura made a Case Management visit to conduct an investigation into a client death. LPA was granted entry into the facility and met with Kimberly Santillian, Executive Director, to whom she disclosed the purpose of the visit. A phone call was made to Community Care Licensing (CCL) and a Death Report was subsequently submitted on 5/14/2021, informing that Resident #1 (R1) [facility representative was provided an LIC 811 that identifies the resident] passed away at the facility. According to information provided to CCL, R1 was found on the floor next to their bed on 5/8/2021, was transported to the hospital, and returned to the facility the same day. R1 passed away at 2:50 AM on 5/9/2021. During today's visit, LPA toured the facility, obtained copies of facility records, and spoke with the Executive Director and facility staff. No deficiencies were cited during today’s visit. An exit interview was conducted with Kimberly Santillian, and a copy of this report and Licensee Rights (LIC 9058) were provided to her, via email, following the visit. An electronic read receipt confirmation was requested to be sent upon receipt of the documents .