Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced case management visit at the facility. LPA Mora met with Rebekah Jefferson (Administrator) and explained the reason for the visit.

During an annual inspection on 05/02/2024, LPA Mora was made aware that Client 2 (C2) passed away on 04/17/2024. LPA Mora contacted C2's conservator and regional center service coordinator to get details and cause of death. The following information was obtained: C2 was visiting the conservator and on 03/31/2024 had a seizure in the conservator's bathroom and fell down. C2 was taken to a hospital where C2 was diagnosed with fracture ribs. C2 was eventually discharged to a skilled nursing. On 04/14/2024, C2 had another fall as a result of heart failure (according to the conservator). C2 was rushed to the hospital and was placed on ventilator. On 04/17/2024, due to no brain activity the family member made the decision to disconnect C2 from the ventilator and C2 passed away. C2's family member texted the LPA a copy of the death certificate that list Cardiopulmonary Arrest as the immediate cause of death.

Exit interview held and a copy of the report were provided.