Facility Evaluation Report

Licensing Program Analyst (LPA), Stephanie Torres, conducted an unannounced visit to the facility to conduct a case management visit to address an incident involving the death of Client One (C1).

The Department received a voice message on the Duty Line from the facility on 01/07/2022 regarding the client's death on 01/07/2022. A subsequent death report was received on 01/11/2022. A Special Incident Report (SIR) details the client, on 01/07/2022, was observed to have labored breathing while they were sitting in the dinning area after breakfast time. The report details facility staff contacted emergency medical services (911) after observing the client not to be breathing normally. A review of records revealed C1 had a prior hospitalization for a Urinary Tract Infection (UTI), for which medication was prescribed and the prescription completed. A follow up medical appointment was scheduled for 010/9/22. Staff interviews corroborated the summary of events reported in the SIR and Death reports.

No information was received by the LPA to indicate there was any lack of care and/or supervision. No citations have been issued at this time. This report was reviewed with Balatbat and a copy provided.