1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Kelly Dulek conducted a tele-case management visit with Sunrise of Westlake Village at 805-557-1100 at 9:23 a.m. due to an incident report that was received via fax on 03/13/2020. The LPA spoke with Executive Director Zak Howell on the phone and explained the nature of the tele-visit.
The Regional Office received an incident report indicating that Resident #1 (R1) had an unwitnessed fall on 2/27/2020, where as a result, R1 sustained a broken hip, broken shoulder, and broken arm, as well as a brain bleed. The Regional Office also received a death report via fax on 3/13/2020 indicating R1 had passed away on 3/1/2020 due to a brain bleed.
During the telephone call on 03/17/2020 at 9:23 a.m. with the Executive Director, the LPA requested the following documents to be sent via email for R1: Needs and Service Appraisal, Physician’s Report, and Identification and Emergency Information, as well as a death certificate. The LPA then conducted a telephone interview with the Memory Care Director along with the Executive Director present at 12:09 p.m.
The LPA has determined that further investigation is needed and will return or call at a later date to continue the investigation. Concerns identified during the tele-visit will be addressed at a later date.
Exit interview conducted. A copy of the report was provided via email. |