Incident investigation·January 29, 2025

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case Management - Incident visit. The LPA introduced himself and discussed the purpose of the visit with Executive Director James Arp. Nursing Director Cat Tomboc and Assistant Executive Director Donnie Johnson assisted the LPA during the visit. Today's visit was in response to an LIC624A Death Report, which the licensee self submitted to the CCLD San Diego Regional Office (received on 1/28/2025). [See LIC 811 Confidential Names List for a description of Resident # 1 (R1).] During today’s visit, the LPA conducted a tour of the facility, conducted interviews, and collected pertinent records. A death certificate for R1 was also requested during the visit. No immediate health and safety concerns were observed during today's visit and no deficiencies were cited. An exit interview was conducted with Johnson, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058), were provided.