Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman visited this facility as an unannounced Case Management Visit in connection to a Death Report received on: 7/29/2024 from the above facility, detailing the events of: 07/28/2024. LPA Trueman met with Administrator Caroline Tan and the purpose for the visit was discussed.

During the course of the visit, LPA reviewed Client 1's file. Various documents were submitted to Licensing on 07/29/2024 which included Physician's Report, Emergency ID, Medication Log ,and Needs and Services Plan.

LPA interviewed Administrator Caroline Tan at today's visit. The administrator stated that Client 1 had not returned to the facility since entering the hospital on 07/02/2024.

Death Report was submitted on 07/29/2024 and it states that on 07/02/2024, client was sent to the CA Hospital of Hollywood due to knee pain and unable to walk. Client was diagnosed with osteosarcoma and was transferred to Cedar Sinai Hospital for surgery and chemotherapy. 07/13/2024, test results show cancer is elevating. 07/14/2024, hospital reported to facility that client is in critical condition.. 07/28/2024, per the client's brothers request the hospital removed clients oxygen mask and client was scheduled to be admitted to hospice the next day, but passed away later in that day.

Administrator will submit Death Certificate when received from family.

There was no police or coroner involved in this case.

Based on the available information reviewed, further investigation is needed.

Exit interview conducted with Administrator and copy of report provided.