Facility Evaluation Report

Licensing Program Analyst (LPA) Stephanie Williams made an unannounced visit to the facility in order to initiate a case management visit due to a recent death of a client at the facility. LPA Williams identified herself to Administrator, Reba Jordan, who was also advised of the purpose of the visit.

On November 17th 2021, the Department was notified of the death of Client #1 (C1). LPA Williams advised the Administrator that a death investigation for C1 has been assigned to the Department's Investigation's Branch. The Administrator was also advised that the assigned Investigator will return at a later date to conduct the investigation.

During today's visit, LPA Williams collected records that are pertinent to the investigation, including:

C1's Individual Program Plan (IPP) from Inland Regional Center & People's Care

C1's Medication Administration Record (MAR)

C1's Emergency/Identification Information

LPA Williams also requested additional documentation be sent to the Department; such as, the Coroner's Report, Police Report, and a Death Certificate upon availability.

An exit interview was conducted where this report was discussed and a copy was provided to the Administrator at the conclusion of the visit.