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, Rachelle Parker and Administrator Amarilys Vainez 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 3 (three) 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 12/23/24. LPA interviewed to obtained further information regarding the death of C1 and the events that led up to C1’s death. The cause of death is pending at this time; however, staff reported that C1 was on hospice due to heart failure. LPA advised Administrator, Rachelle Parker to send a copy of the death certificate to the department, as soon as it becomes available. Administrator stated that the POA will be receiving the death certificate.

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.