Facility Evaluation Report

On 10/22/2024 at 11:00am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 10/19/2022. Claudia Meza, Administrator arrived at 11:20am and LPA explained the purpose of the visit.

The incident occurred on 10/18/2024 regarding C1. S1 stated C1 had a normal day. C1 attended a community outing, returned home and watched television. S1 stated C1 went to his room and S2 heard a grunt sound coming from a bedroom, checked and saw C1 with his head facing up. Staff called 9-1-1 due to C1 not responding or breathing. Cardiopulmonary resuscitation (CPR) was given, officers arrived, paramedics arrived and took over chest compressions. C1 was taken to the hospital where he was pronounced deceased.

LPA L. Hall collected C1's appraisal needs and services plan and physician's report. documents pertinent to the incident report.

Exit interview conducted and a copy of this report was provided.