Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen an unannounced case management visit to this facility to follow up on an Special Incident Report (SIR) received in the Regional Office 2/28/22 regarding Client 1's (C1) death. LPA met with house managers Jason Laygo and Rufina Laygo .

LPA discussed the purpose of the visit and obtain additional information regarding the client's death. LPA reviewed C1’s facility file. LPA obtained copies of the following documents: Client ID/emergency information, admission's agreement, physician's report, Individual Program Plan (IPP), daily notes, special incident reports, and death report.

The Department is requesting a copy of C1's death certificate once it becomes available. Further investigation may be required depending on the cause of death.

No deficiencies were cited during the visit. An exit interview was conducted where this report was discussed and provided to the manager Jason Laygo.