Facility Evaluation Report

On 1/14/2025, Licensing Program Analyst (LPA) Kelly Nguyen conducted an unannounced case management regarding an incident report that was submitted to CCLD on 1/9/25 regrading a client got admitted to ICU due to high carbon dioxide level. LPA met with care staff Arturo Ticman and explained the purpose of the visit. Administrator (ADM), Frank was informed and explained the purpose of the visit but was not able to come during the time. ADM gave verbal permission for Arturo to sign the report.

S1 stated C1 have a condition of bowel moment, and it was due to C1 health condition that cause C1 to develop new system which cause C1 abdomen can’t release/ obtained carbon dioxide. S1 clarified and confirmed that this have nothing to do with the environment. This is a new condition that C1 develop due to C1 health condition. We checked everything to rule out any condition that C1 have, but after that S1 called the 911 to get C1 taken to get evaluated. According to S1 C1 Is doing well, but still remind in ICU for a couple more days. S1 will update C1 needs and service plan when S1 gets an update on C1 health condition.

Facility will submit an updated care plan after C1 discharge from the hospital.

Exit interview is conducted a copy of this report is provided.