Follow-up·February 11, 2026

Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced Case Management - Other visit in conjunction with a complaint visit (Complaint control # 29-AS-20260203102145.) The LPA was greeted by lead Med Tech Dora, Islas and informed them of the reason for the visit. At 2:45 PM, Office Manager, Angelica Arambulo arrived at the facility, however they were unable to sign today's report. Office manager authorized lead Med-Tech to sign today's report. Entrance interview conducted. On 02/02/2026, LPA Conway received a telephone call from a Public Health official requesting information regarding an influenza outbreak at the above facility. The Public Health official stated that the Department of Emergency Services had notified them that four (4) residents from the facility were transported to the hospital and diagnosed with Influenza. The Public health official further stated that attempts to contact the facility’s administrator to obtain additional information were unsuccessful. The first incident report submitted to Community Care Licensing (CCL) was received on 02/03/2026, after Public Health contacted the facility. The incident report submitted by the facility reported that four (4) residents were sent to the hospital due to flu-like symptoms and that Resident #1 (R1) passes away on 02/02/2026. As of 02/11/2026, CCL had not received a death report for R1. On 02/06/2026, LPA Conway contacted the facility office manager by telephone. The office manager confirmed that several residents and staff members had been experiencing flu-like symptoms since 01/25/2026, and acknowledge that by Saturday, 01/31/2026, the facility was experiencing an influenza outbreak. Despite this knowledge, the office manager failed to notify CCL and local health officer within 24 hours of the outbreak by telephone of facsimile. Additionally, they failed to report the death of R1 within seven (7) days from the date of occurrence, as required. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.