Facility Evaluation Report

Licensing, Program Analyst, Amber Coleman, (LPA) arrived at the House of Solomon Adult Residential Facility to conduct a Case Management visit for Health and Safety in response to the death of a resident. LPA was greeted by Staff Member, (S1) and invited inside facility. LPA introduced self and stated purpose of the visit. LPA had temperature taken and was provided space to work.

The case management visit consisted of a walk through of facility, collection of resident documents and interviews regarding the events which led to resident's death. Administrator reported that no death certificate or documents were provided to the facility afterwards. The Police did make a visit and call the coroner. The corner then authorized the release at the request of family. No death certificate was provided to facility which lists a cause of death. Resident's next of kin was his brother. The resident had no conservator. LPA has advised the Administrator to send a copy of the death certificate the Community Care Licensing Division (CCLD) Riverside Regional Office as soon as it is available.

Primary Care Physician Notes & contact information

No deficiencies observed. An exit interview was conducted where this report was discussed and provided to Administrator, Kinsley Okundaye.