Facility Evaluation Report

Licensing Program Analyst(s) (LPA's) Jose Villalobos and Nicol Wesley conducted an unannounced case management visit regarding a client death reported on 1/16/25 to licensing. LPA's met with back up administrator Mariano Prieto.

The department received an incident report on 1/16/25 regarding the death of Client #1 (C1). It was reported that C1 passed away at PIH Whittier Hospital on 1/16/25 at 1:30am after being admitted on 1/15/25 for symptoms of being lethargic and shortness of breath. Further tests from the hospital revealed that C1 had aspiration pneumonia and a twisted intestine causing a bowel obstruction. C1 refused treatment and assistance from the hospital staff while there on 1/15/25. On 01/16/25 Hospital notes indicated C1 passed away of cardiopulmonary arrest due to small bowel obstruction.

The following documents were collected regarding C1:

Most recent needs and services plan (IPP)

On todays visit LPA's conducted a health and safety check. LPA toured the physical plant of the facility and did not observe any blocked passageways or health and safety hazards. LPA's observed the food supply to have 7 days worth of non perishables and 2 days worth of perishables available. LPA observed toxins and sharps were locked and inaccessible to clients in care.

No deficiencies are being cited at this time. Facility was advised to provide a death certificate to licensing once obtained. Exit Interview conducted and a copy of this report was provided.