Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced Case Management Visit to follow up on a Death Report faxed to the Department on 2/7/24. LPA met with Administrator Maggie Estrada and explained the reason for the visit.

On 2/6/24 around 7am a staff member (Staff #1/S1) observed Client #1 (C1) sleeping/snoring while doing rounds , S1 exited room to assist another client and shortly after checked on C1 again to wake C1 up for the day, S1 was unable to wake up C1 after several attempts, S1 had staff call 911 and a nurse for another client that was at the facility at the time began to administer CPR, CPR was being administered as paramedics arrived and they took over, C1 was sent to hospital and expired at hospital on 2/6/24.

During today's visit LPA interviewed the Administrator and S1, obtained copies of C1's FACE Sheet, Death Report, Appraisal Needs & Services Plan, Physician's Report, and Medication Administration Record (MAR) for December 2023--February 2024.

LPA also toured C1's bedroom. No concerns, obstructions, or anything out of the ordinary was witnessed during the visit. LPA has also requested facility to obtain and provide Licensing with C1's Death Certificate upon receipt.

No deficiencies observed during today's visit. Exit interview held and a copy of the report was provided to Administrator Maggie Estrada.