Facility Evaluation Report

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced case management visit to the facility. LPA Gardner met with Administrator Veda Hervey and explained the purpose of today's visit.

This case management visit consisted of collecting pertinent documentation and conducting a staff interview regarding the death of Resident #1 (R1). LPA Gardner interviewed Administrator Veda Hervey for information leading up to the death of R1. R1 frequently leaves the facility and has done so on an average of twice per month for the past 3 months, as well as 2 times from the hospital in an average duration of 1.5 weeks. It should be noted that R1 was ambulatory and was not conserved.

When a resident leaves the facility, the facility attempts to keep the resident by verbal redirection, and if unsuccessful, will notify the Riverside County Sheriff's Department.

At the time of this report, an official death report from the Riverside County Coroner's Office was not complete to provide the cause of death.

No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was provided to General Manager Shanay Waters.