Facility Evaluation Report

Licensing Program Analyst (LPA) Tiffany Holmes conducted a Case Management - Other visit. LPA was greeted and allowed entry into the facility by Laura Garcia, Administrator. LPA stated the purpose of the visit was to follow up on a death of a client.

During today's visit, LPA briefly toured the facility, requested records, and conducted interviews. On 05/06/24, Community Care Licensing received a death report for Client #1 (C1). The report stated on 04/29/2024 C1 having difficulty breathing and was choking. The family did not want to intubate and so a DNR was signed and they decided to do palliative care and placed C1 on hospice. C1 passed on 05/02/2024.

Once the facility staff receives a death certificate they will provide it to the department.

An exit interview was conducted with Administrator and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided to the Administrator at the conclusion of the visit.