Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced case management visit in response to a death report received on 2/4/2025 for Client #1 (C1). LPA met with Julia Elias, Med Tech Supervisor for the facility, and explained the purpose of the visit.

Per the Special Incident Report (SIR), C1 was involved in a traffic accident in the city of Pico Rivera and ultimately passed away from their injuries. Staff #2 (S2) went out to the scene of the accident to provide the sheriff's on the scene an account and was given an incident report number. Staff had no additional updates related to the incident.

During today's visit LPA toured the facility and also the bedroom of C1. No health or safety concerns were noted during the visit.

Staff #1 (S1) emailed LPA C1's Physician's Report, FACE Sheet, Individual Program Plan (IPP), and their Medication Administration Records (MARs) for the past three (3) months, and conservatorship documents. Staff explained that they will email LPA a copy C1's death certificate once it becomes available.

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