Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management – Incident visit to the above facility. The LPA met with Co-Administrator Charles Carino and explained the reason for the visit. Entrance interview conducted.

The reason for today's inspection is to follow up on a self-reported death report received on 05/17/2024. The report pertains to the death of Client#1 (C1). Per the information received, the circumstances surrounding the death of Client #1 on 05/16/2024 may be questionable and needs to be investigated. It was reported C1 was sent to the hospital on May 15th from their day program and passed away on May 16th at the hospital due to a brain bleed.

During today's visit, the LPA conducted an interview with the administrator throughout the visit, a brief tour of the facility and obtained copies of pertinent documents.

This incident was referred to Community Care Licensing Investigations Branch (IB) for review. Further investigation may be required. An investigator or the LPA may return at a later date if needed.

Exit interview conducted. A copy of the report was issued to the Administrator Charles.