Facility Evaluation Report

Licensing Program Analysts (LPAs) Becky Mann, Melody Brown and Renese Howell-Small conducted an unannounced visit to the facility on 10/02/2024 at 10:00 AM to conduct a case management visit to address an incident involving an adult death that occurred on 9/28/2024.

LPAs Mann, Brown and Howell-Small met with Administrator Rufina Laygo who was informed of the purpose of the visit.

LPAs Mann, Brown, and Howell-Small requested the following documents from Client #1's (C1) file for review:

* Client Roster for the facility for August 2024 - Present

LPAs Mann, Brown and Howell-Small briefly interviewed Administrator Rufina Laygo and a staff regarding the circumstances leading up to C1's admission to the facility and subsequent death.

Due to this being an adult death (under the age of 60) at this facility, LPAs Mann, Brown and Howell-Small requested for Administrator Rufina Laygo to submit C1 death certificate once available.

A copy of this report was discussed and provided to Administrator Rufina Laygo