Incident investigation·March 8, 2024

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 Caregiver Hugo Duran. LPA then met with Co-Administrator Guarav “Gary” Rathi, who arrived later during the visit. Today's visit was in response to an LIC624 Incident Report and an LIC624A Death Report, both concerning Resident #1 (R1), which Licensee self-submitted to the CCLD San Diego Regional Office (they were received on 02/27/2024 and 03/08/2024, respectively). [See LIC 811 Confidential Names List for a description of R1.] Per the reports: On 02/24/2024, Licensee’s staff arranged for R1 to be taken to a local emergency room due to change in their condition. R1 was admitted to the hospital. Then on 03/06/2024, R1 passed away at the hospital. During today’s visit, LPA performed a brief facility tour and welfare check on the remaining residents, finding no safety concerns. LPA also collected copies of and reviewed pertinent records and interviewed relevant staff. No deficiencies were observed or cited during today’s visit. An exit interview was conducted with Rathi, 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.