Facility Evaluation Report

On 1/16/2024 at 12:54 p.m., Licensing Program Analyst (LPA) Jewel Baptiste initiated a case management visit to follow-up on the death of Client #1 (C1). Upon arrival there was no one at home. LPA contacted Administrator Mary Machado and explained the reason for the visit. At 1:30 pm, Staff#1 (S1) greeted LPA. According to S1 all clients attend a day program from 1 pm to 5 pm. The Administrator Norlan Machado arrived at 1:45 pm.

The facility completed a death report for C1 dated 12/24/24. According to the report, C1 passed away at West Anaheim Medical Center on 12/24/2023. The Administrator and S1’s interviews confirmed, C1 was sent to the hospital on 12/3/2023 due to a fever. C1 was then admitted into a nursing home and stayed there for 2 weeks. C1 was sent to West Anaheim Medical Center where they pronounced C1's death on 12/24/2023.

LPA toured the facility with S1. The tour included 4 client's bedrooms, 1 vacant bedroom, 2 bathrooms, kitchen, and common areas. LPA observed sharps, medications, and chemicals under lock. There were no health and safety concerns at the time of the visit. LPA also obtained a copy of C1’s physician’s report and IPP.

The Administrator stated C1's family member confirmed cause of death was a heart attack and will provide a copy of death certificate upon receipt.

Exit interview conducted with S1 and a copy of the report provided.