Facility Evaluation Report

Licensing Program Analyst (LPA) Kruz Long conducted a Case Management visit to follow-up on the death of Client #1. LPA met with Sonia Mendez (DSP) who assisted with the visit. LPA explained the purpose of the today's visit.

During today's visit, LPA interviewed Staff #1 who stated that Client #1 went to the hospital because Client #1 felt sick and threw up. Night staff called 911 and ambulance took Client #1 to the hospital. Client #1 later passed away in the hospital. Hospital indicated that Client #1 passed away due to Covid-19.

Copies of the following documents were obtained during Case Management visit:

LPA advised facility to fax a copy of the following documents:

Administrator was informed to provide a copy of the death certificate once available. Until cause of death is confirmed investigation will continue.