Facility Evaluation Report

Licensing Program Analysts (LPAs) Tao and Reyes conducted an unannounced initial case management visit regarding the death of client #1 (C1) which occurred on 02/28/24. LPA met with Administrator, Janeth Dorantes and explained the reason of the visit.

According to the incident report dated 02/29/24, C1 deceased on 02/28/24 who was found in the city of Montclair by police. The suspected cause of death was drug (Meth) overdosed.

During today's visit, administrator was interviewed, C1's file was reviewed and obtained the following:

· Client #1 (C1) facesheet dated 04/25/23

· Unusual incident report, dated 02/29/24

· C1's record of Medical visit dated 5/11/23

· C1's Police's Report #024-008560871400 / C1's Coroner case # 702401726

Administrator stated she may get the death certificate and coroner report from C1's family when available. Exit interview was conducted and a copy of LIC 809 Report was provided to administrator.