Facility Evaluation Report

Licensing Program Analyst (LPA), Stephanie Torres, conducted an unannounced visit to the facility to commence a case management investigation. The LPA identified herself and discussed the purpose of the visit with Administrator, Vanessa Lucena.

The Department received a verbal notification on August 16, 2021, from the facility Administrator reporting the death of a client in care, Client One (C1). It was reported C1 chocked on a piece of food and emergency medical personnel (911) were contacted to aid. No additional details were provided.

On this visit the LPA conducted resident/staff interviews, reviewed records, and took copies of pertinent documentation. Lucena indicated the incident was reported on August 14, 2021. She reported Staff One (S1) was present at the time and was providing direct supervision to C1 when the incident occurred. She reported C1 does have a history of chocking, though the eating challenge does not take place on a normal basis. LPA observed S1 did have proof of CPR training, dated February 19, 2021, on file. The LPA will review reports received from the facility and follow-up, if necessary. No citations have been issued at this time.

An exit interview was conducted with Lucena and a copy of this report was provided.