Facility Evaluation Report

tOn 09/23/24 Licensing Program Analyst, LPA Troy Watson conducted a Case Management visit to follow up on the death reported for client #1 (C1). LPA was greeted by the Administrator Stephanie Brown and explained the purpose of the visit was to gather information about the death of (C1).

The regional office received a copy of the death report from the facility and reported the death of (C1) on 09/17/24. The death report stated that on 09/17/24 (C1) was pronounced dead at 12:40 P.M. at UCLA Santa Monica.C1 was sent to the hospital on an emergency medical services (EMS) and was admitted to the hospital on 09/17/24 due to a fall from the second floor of the residence. Interviews were conducted with the staff #13 (S1- S13) and #2 clients (C1- C2) were interviewed on this visit.

· Physician Report for Community Care Facilities LIC 602A

· Preplacement Appraisal Information LIC 603

An exit interview was conducted with Stephanie Brown and a hard copy of this report was provided.