Incident investigation·March 17, 2025

At 4:00pm on 03/17/2025, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct an Case Management Visit pertaining to the incident and subsequent reports on 03/09/2025 at approximately 9:15pm of Resident 1 (R1). LPA met with Community Relations Director, Sarah Kau (S1) announced who he is and the reason for the visit. LPA requested R1 full file including but not limited to R1’s LIC602 (Physicians Reports), Pre Admissions appraisal, Appraisals Needs and Services Plan, Resident contact information, and all resident file information. S1 and LPA conducted a physical tour of the facility and took photographs. There is no further information to report on this Case Management Visit. Exit interview, report read, and report provided.