Incident investigation·April 21, 2023

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by and identified himself to Concierge Thea Koulouras. LPA then met and discussed the purpose of the visit with Director of Resident Care Services Zachary Striplin, RN. Today's visit was in response to an LIC624 Unusual Incident/Injury Report involving Resident #1 (R1), which licensee self-submitted to the CCLD San Diego Regional Office on 12/08/2023. [See LIC 811 Confidential Names List for a description of R1]. During today’s visit, LPA briefly toured the facility, interviewed R1 and relevant staff, and collected pertinent records. No deficiencies were identified or cited during today's visit. An exit interview was conducted with Striplin, 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.