Facility Evaluation Report

On 12/09/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent case management visit at this facility. LPA met with assistant administrator Mata Fonopo and explained the purpose of the visit. LPA is to issue the final results of the death investigation of client #1(C1).

During this investigation, LPA interviewed client #2 (C2) roommate, house manager staff #3 (S3), housekeeping supervisor staff #2 (S2), and housekeeper staff #1 (S1) and reviewed the death certificate. The certificate revealed that (C1’s) cause of death on 06/30/22 was Ventricular arrhythmia and Cardiovascular disease .

Based on information gathered, the Department found no evidence of negligence or foul play and will not close this investigation.

An exit interview is conducted with Mata Fonopo and a copy of the report is provided.