Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to conduct a case management visit for Client 1 (C1)’s death. LPA conducted a health and safety check and met Program Administrator, Catherine Omar and Acting Administrator Rolanda Henderson and explained the purpose of today’s visit. At the time of the LPA’s visit, there was 2 (two) clients at the facility and 5 (five) staff members present at the time of the visit.

During the LPA’s visit, LPA reviewed, requested, and obtained copies of pertinent documentation, conducted staff interview with staff member 1 (S1) regarding C1’s death on 11/10/24. LPA interviewed to obtained further information regarding the death of C1 and the events that led up to C1’s death. LPA was not able to interview the 3 (three) staff who were present due to taking worker's comp. Administrator stated that they were emotionally impacted by the events since they were present at the time of the incident. LPA obtained the contact information of the 3 (three) staff members. The cause of death is due to a car impact; staff reported that the alleged driver was driving under the influence. LPA advised Administrator, Catherine Omar and Acting Administrator Rolanda Henderson to send a copy of the death certificate to the department, as soon as it becomes available.

No deficiencies were cited during this visit, as there were no health and safety concerns observed during today's visit.

An exit interview was conducted and a copy of this report (LIC 809) and LIC 811 (confidential names list) were provided to Administrator, Catherine Omar.