Facility Evaluation Report

Licensing Program Analyst (LPA) Ana Soto conducted an initial unannounced case management - incident/death investigation to the above facility. Today’s case management investigation was conducted with Joyce Garcia, Assistant Administrator.

On 03/09/2023, LPA Soto conducted a case management visit to gain additional information pertaining to the death of a client who shall be referred to as: C#1 who expired on:02/26/2023. A copy of the decedent's Certificate of Death is not yet available. The primary cause of death is unknown at this time. LPA Soto reviewed C#1 file, interviewed S#1 Assistant administrator, S#2, S#3, C#2, C#3, C#4, & W#1. Family did not request autopsy to be performed, they are going ahead with funeral services. Based on: interviews of clients, staff, and witness, there are no deficiencies observed. The facility is in compliance with applicable Title 22 Regulations. The death was reported as specified in regulations. The facility administrator contacted the appropriate agencies and family member as required. Police Department was called and arrived at the facility they conducted their own investigation of C#1 death. No action was taken by Police department. Report #2023-0222.

No Deficiencies Cited at this time, additional information is required. LPA will return to complete the investigation at a later date.

An exit interview was conducted with Joyce Garcia, Assistant Administrator, and a hard copy of report was provided