Incident investigation·February 4, 2026

Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced Case Management – Incident visit at 9:45 a.m., LPA met with Executive Director (ED), Remon Pagels and explained the reason for the visit. Entrance interview conducted. The Department received two (2) self reported incident reports and a subsequent incident death report regarding Resident #1 (R1) on 12/12/2025, 12/14/2025 and 01/06/2026. On 02/03/2026 a referral was made to Community Care Licensing Division's (CCLD) Investigation Branch (IB) and Investigator Veronica Padilla has been assigned to the incident investigation. During today’s visit, LPA and ED conducted a physical plant tour to ensure there are no immediate health and safety concerns, conducted a brief in-person interview with the ED, a file / record review for R1 along with obtained copies of pertinent documents relevant to the incidents. No immediate health and safety concerns were observed during today's visit. Further investigation is required. Exit interview conducted. Report was reviewed and a copy was provided.