Complaint Investigation Report

Allegation: Personal Rights/Questionable Death. It is alleged that on 02/16/22, C-1 collapsed a few minutes into C-1’s walk and was foaming from C-1s mouth and part of C-1’s face had dropped. (3) out of the (4) interviewed clients indicated that C-1 wanted to go out for a walk and was not forced. Per client interviews, C-1 and C-3 were the only clients that participated in the community walk. (3) out of (4) interviewed clients indicated that C-1 appeared to be fine on 02/16/22. Per C-3, C-3 does not recall witnessing C-1 foaming from C-1’s mouth nor C-1’s facing dropping. Per interviews and reviewed documentation, during the walk, C-1 became tired and wanted to take a break. C-1 then proceeded to sit on the curb and after a couple of minutes, C-1 indicated C-1 was ready to continue with the walk. During this, C-1 was asked if C-1 wanted to return back to the home and C-1 wanted to continue walking. As the walk continued, C-1 then indicated C-1 wanted to take a nap and proceeded to sit and wanted to lay on a driveway. C-1 was not responding to staff redirection and was noticed not to be answering verbal prompts and “was drooling”. Staff then proceeded to call 911 and staff performed CPR until paramedics arrived. Shortly after the arrival of paramedics and Pico Rivera Sherrif’s Department, CPR was continued and was unsuccessful. C-1 was pronounced dead on scene. Per C-1’s death report, C-1 cause of death was due to “natural” causes.

Based on record review and interviews conducted the findings indicate, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview conducted, appeal rights and a copy of this report was provided to Marileen Carrillo