Incident investigation·July 21, 2025

[Report Amendment: Correct Census is 133 for the RCFE-licensed portion, excluding the "Casitas" on the campus which are not licensed by CCLD.] 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 Amy Banaga and Resident Services Director Le Sutton, Today's visit was in response to Licensee’s self-reported death of Resident #1 (R1), received at the CCLD San Diego Regional Office on 07/16/2025. [See LIC 811 Confidential Names List for a description of select person identifiers used in this report]. Per the written report, R1 passed away at the facility on 07/16/2025. During today’s visit, LPA performed a brief facility tour and welfare check on remaining residents, finding no immediate 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 Executive Director Amy Banaga, 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.