Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno 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 identified herself to Administrator Vivian Francisco, who was also informed of the purpose of the visit. LPA Bueno and Administrator Francisco toured the facility and LPA did not observed health and safety concerns during the visit.

On this day, the Department was notified of the death of Client 1 (C1). During today's visit, LPA Bueno interviewed Staff 1 (S1) regarding the details surrounding C1's death. LPA also collected and reviewed records that are pertinent to C1's death, including:

LPA Bueno also requested additional documentation be sent to the Department; such as, the Death Certificate, upon availability.

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