Facility Evaluation Report

On 10/15/24 at 1:47PM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to open a 10 initial complaint on an unrelated matter and conducted a case management death. LPA met with Heather Payne, Care Director , and explained the purpose of the visit.

On 10/10/24, LPA received an LIC624A regrading the death of Client 1 (C1). LPA reviewed C1’s files, interviewed Heather Payne, Care Director and requested and received documentation including but not limited to relevant incidents that may have occurred prior to C1’s death, case notes, most recent Physician’s Report/Medical Assessment, Medication List, ID/Emergency contact information and requested. Official Death Certificate to be submitted by 11/08/2024.

Exit interview conducted and a copy of this report provided.