Facility Evaluation Report

Licensing Program Analyst (LPA), David Cuevas conducted an unannounced Case Management visit to facility regarding an adult death report to regional office on 02/22/2022. LPA met with Administrator/Licensee, Artego Reaves who was informed the purpose of visit.

During case management visit LPA interviewed staff and reviewed residents #1 (R1)’s file.

Per interview and available records resident passed away on 02/22/2022 approximately 4:00 am at Loma Linda Medical Center. Per staff interview, resident # 1 (R1) was first taken to hospital on 2/16/22 due to staff noticing R1 to be lethargic. On 2/17/22 while at the hospital R1 was treated for low thyroid level and was pending right hip drainage for fluid. However, while at hospital unrelated health concerns developed when R1 choked on a piece of food that made its way to the lungs. On 2/20/22 R1 was moved from the emergency room (ER) to a hospital room. R1’s family was informed of new health development and given options for treatment. On 2/22/22 approximately 12:00 am, Licensee received a call from R1’s family communicating that R1 was not doing well, later that morning at 4:00 AM Licensee received a call from Hospital Doctor, who proceeded to inform Licensee of R1’s passing. On 2/22/22 approximately 9:00 AM Licensee proceeded to inform Inland Regional Center (IRC) and Community Care Licensing (CCL) of R1’s death. During today’s visit LPA requested and obtain the following documents:

· Psychiatric Evaluation and Medical Notes/Orders