Incident investigation·February 20, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced case management visit to the facility in response to an incident/death report received on 2/18/2025. LPA met with Brian McCague, Administrator, Therese Brown, Senior Director of Health Services, and Nicole Caines, Director of Personal Care and explained the purpose of the visit. LPA toured the Assisted Living building and obtained relevant documents for Resident 1 (R1). LPA conducted interviews from 1:45 pm through 2:45 pm with Administrator, Senior Director of Health Services, and Director of Personal Care about R1. On 2/19/2025, LPM Burley interviewed Therese Brown, Senior Director of Health Services by phone. The Santa Barbara County Sheriff’s Department was also contacted. Based on the information obtained through record review and interviews, there was no evidence found to suggest neglect or lack of supervision resulted in or contributed to R1’s death, at this time. No citations will be issued at this time. Exit interview, copy of report issued at the time of the visit.