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25 | On 12/29/23, Licensing Program Analyst (LPA) Tung Truong arrived at this facility unannounced to conduct a case management visit regarding a receipt of a death report. LPA met with Administrator Maria Agustin and explained the purpose of the visit.
The purpose of this case management visit is to follow up on a death report the Department received on 12/22/2023. LPA reviewed death report which revealed that resident 1 (R1) passed away on 12/18/23. R1’s reason for hospitalization and cause of death was not indicated on the death report. Based on interview conducted with Administrator, R1 refused meals and medication twice at approximately 4 pm and 7 pm on 12/3/23. On 12/4/23, when staff wake R1 up for breakfast at 6:50 am, R1 didn’t respond. Facility staff then called 9-1-1. It was learned that on 12/14/23 attending nurse told the administrator that R1 has an infection of the blood called sepsis and being treated with antibiotic and don’t know how R1 got it. Administrator stated that she is waiting for the R1’s medical records and will send LPA Truong a copy once she receives it.
The following documents was obtained during today’s visit: Incident reports pertaining to R1, Physician’s Report, Identification and Emergency Information, and Appraisal/Needs and Service Plan.
Per the California Code of Regulations, Title 22, no deficiencies were cited during this visit. The administrator was advised that LPA would return at a later date to complete the investigation.
An exit interview was held, and a copy of this report was left at the facility. |