Facility Evaluation Report

Licensing Program Analyst, Amber Coleman (LPA) arrived at the Orchid Court Facility to conduct a Case Management for the purposes of health and safety following an adult death. LPA introduced self and stated purpose of the visit. LPA was granted entry by staff and introduced to the Administrator Clodoveo Gosuico also known as "George". LPA was asked to sign in and have temperature taken. LPA was provided a space to work and interview the Administrator.

During the visit, LPA interviewed Administrator regarding the resident, their behavior, history with facility, events leading to incident and collected pertinent documentation regarding the death resident (R1). Administrator explained that in response to the incident the San Bernardino County Sheriff's Office made and visit along with the County Coroner. At this time, no official death certificate or cause of death has been provided. Administrator agreed to provide Community Care Licensing with these documents as soon as they are released. The resident was conserved and was assigned a representative payee.

An exit interview was conducted where this report was discussed and provided to the Administrator.