Facility Evaluation Report

Licensing Program Analyst (LPA), Janira Arreola and David Cuevas conducted an unannounced Case Management visit to facility regarding a death report received at regional office on 03/22/2022. LPA 's met with Licensee, Portia Garcia who was informed of the propose of visit and granted entry.

During case management visit LPA's interviewed staff #1(S1) and reviewed residents #1 (R1)’s file.

Per interviews and available records resident passed away on 03/17/2022 at the Hospital. Hospitalization was due to a 911 called made by staff on 3/7/22 approximately 7:49PM after staff identified a change in condition, for R1. Per interview with S1, R1 lost pulse while staff waited for 911 to arrive, after staff communicated lost pulse dispatch instructed staff to initiate CPR compression until emergency personnel arrived. Upon emergency personnel arriving at facility they took over R1's CPR compressions. R1 was admitted to hospital on 3/7/22 and remained there until day of death on 3/17/22. Per S1 on 3/16/22 R1’s family met with Doctors who communicated to family that R1 was brain dead at that time R1’s family made the decision to donate R1’s organs and on 3/17/22 R1 was taken of respirators. During todays visit LPA's requested the following documents:

· Psychiatric Evaluation and Medical Notes/Orders