Facility Evaluation Report

Licensing Program Analysts (LPA) Bernadette Allen conducted an unannounced visit to the facility to conduct a case management visit and follow up on an adult client death. LPA Allen met with Shawn Coletta- Administrator who was informed of the purpose of the visit.

This case management visit consisted of collecting pertinent documentation and conducting staff interviews in regard to the death of Client #1 (C1). LPA Allen interviewed Staff #1 (S1) and Staff #2 (S2) for further information in regard to the death of (C1) and the events that led up to (C1's) death.

(S1) stated that there is no official death certificate or cause of death at this time. LPA Allen has advised the administrator Shawn Coletta to send a copy of the death certificate to Community Care Licensing Division (CCLD) Riverside Regional Office as soon as it is available.

An exit interview was conducted where this report was discussed with Shawn Coletta and a copy was provided at the conclusion of the visit.