Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced case management visit. LPA met with Marilu A Pagadora, Direct Support Staff for the facility, and explained the purpose of the visit. Zosimo Pacasio, Administrator, arrived shortly thereafter. The visit was conducted in response to the death of Client #1 (C1), who passed away on 12/17/2024

During the visit, LPA interviewed the administrator Zosimo Pacasio and also obtained C1's Physician's Report, FACE Sheet, Appraisal/Needs and Services Plan, and C1 Medication Administration. LPA requested a copy C1's death certificate once it becomes available. LPA also toured the bedroom of C1 and found no concerns.

The death has been determined to not be suspicious.

At this time, no further action is required, and no citations will be issued. Exit interview held and a copy of this report was provided.