Facility Evaluation Report

On 10/09/24 Licensing Program Analyst, LPA Troy Watson conducted a Case Management visit to follow up on the death reported for client t#1 (C1). LPA was greeted by Laura Ramirez and explained the purpose of the visit was to gather information about the death of (C1).

The regional office received a copy of the death report from the facility and reported the death of (C1) on 10/01/24. The death report stated on 10/01/24 (C1) was pronounced dead at 7:21: a.m. at Providence Little Company of Mary Medical Center Torrance. C1 was sent to the hospital in an emergency medical service (EMS) vehicle and was admitted to the hospital on 10/01/24 due to coughing, pale skin and slurred speach, C1 later passed away at the hospital due to cardiac arrest. Interviews conducted with staff #1-#3 (S1-S3) and clients #1- #3 (C1- C3) were performed on this visit.

· Physician Report for Community Care Facilities LIC602A

· Preplacement Appraisal Information LIC603

An exit interview was conducted with the facility Administrator Laura Ramirez and a hard copy of this report was provided.