Incident investigation·September 5, 2024

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management – Incident visit to the above facility. The LPA met with Administrator Victor Hernandez and assistant administrator Celesty Hernandez and explained the reason for the visit. Entrance interview conducted. Administrator Victor had to leave during the visit and designated assistant administrator Celesty to review and sign the report. The reason for today's inspection is to follow up on a self-reported death report received on 08/30/2024. The report pertains to the death of Resident #1 (R1). Per the information received, the circumstances surrounding the death of Resident #1 on 08/30/2024 may be questionable and needs to be investigated. It was reported R1 was sent to the hospital on August 17th and passed away on August 30th due to UTI/Sepsis at the hospital. During today's visit, the LPA conducted an interview with the Administrator and Assistant administrator, conducted a brief tour of the facility and obtained copies of pertinent documents. This incident was referred to Community Care Licensing Investigations Branch (IB) and assigned to investigator Christine Ferris. Further investigation is required prior to issuing findings. An investigator or the LPA will return at a later date. Exit interview conducted. A copy of the report was issued to the assistant Administrator.