Facility Evaluation Report

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced Case Management Incident visit. LPA was greeted and granted entry by Staff Noemi Guerrero who was informed of the purpose of the visit. Chief Executive Officer (CEO) Michael Hall and Administrator Jeffrey Castillo arrived shortly after to greet LPA. The visit is in response to the death of Client One (C1), whom passed away on 01/06/2024.

LPA conducted a tour of the facility, interviews, and collected documents. LPA reviewed C1's file and obtained copies of the following: ID/emergency Information, admission agreement, Physician's reports, Functional Capabilities Assessment, Individual Program Plan, progress notes, and medication records (MARs) for the last 30 days. LPA also requested a copy of C1s death certificate when it is made available.

During today's visit no deficiencies were cited in regard to this incident.

An exit interview was conducted, and a copy of this report was provided to Administrator Jeffrey Castillo along with a copy of the LIC 811.