Facility Evaluation Report

LPA Mita Partoza, conducted an unannounced case management for the incident that was received on 9/17/2024 regarding unknown death of a resident (R1). LPA met with licensee/administrator (LIC/ADM) and administrator/staff 1 (ADM/S1), Ramiro Custodio.

At 2:28 p.m. LPA interviewed ADM/S1, who stated that he called the coroner's office on 9/20/2024 to follow up on the death report/certificate of R1. ADM/S1 stated that according he was informed it was a mistake it was not a coroner's report.

LPA requested LIC 602, needs and appraisal needs and services plan of R1.

Due to lack of information this case management will remain open for further investigation.