Incident investigation·May 29, 2025

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management – Incident visit at 12:30 p.m. The LPA met with staff and explained the reason for the visit. Entrance interview conducted. Administrator Maria Ayala arrived shortly thereafter. The Department received a self reported incident report regarding Resident #1 (R1) on 05/21/2025. During today’s visit, the LPA conducted a physical plant tour to ensure there are no immediate health and safety concerns, conducted an in-person interview with the Administrator, R1, a file review for R1, observed several video footage (clips) from 05/16/25, and obtained copies of pertinent documents relevant to the incident. If further investigation is needed an LPA will return at a later date. No immediate health and safety concerns were observed during the visit. Exit interview conducted and copy of report provided.