Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced case management visit stemming from an incident report received by LPA M. Leon on 8/03/2023. LPA met with the Administrator, Rana Chapkhaneh and explained the purpose of the visit.

The incident report sent on 8/02/2023 notified the passing of client #1 (C1). During today’s visit, the Administrator provided the following information: C1 was last present at the facility on 5/19/2023. On 5/19/2023, the facility called 911 for C1 due to difficulty in breathing and elevated blood sugar level. After being hospitalized, C1 was transferred to the Skilled Nursing Facility. While under the care of Skilled Nursing Facility, it was made aware that C1 passed away on 7/30/2023 at 9:45pm.

Based on the interview conducted with the Administrator, it was determined that C1 was no longer a client of the facility and was not expected to return to the facility due to C1 needed a higher level of care. Additionally, the Regional Center providing services for C1 was terminated prior to C1's death.

No deficiency was issued. An exit interview was held, and a copy of this report was provided to the Administrator, Rana Chapkhaneh.