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25 | On 9/1/2022 at 1:45PM Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 8/24/2022. LPA met with Jeffrey Freeth, Assistant Executive Director and explained the reason for the visit.
The incident that was submitted for R1 occurred on 8/23/2022 where R1 was taken to the emergency room at John Muir Hospital resulting from a choking incident. The facility later submitted a Death Report for R1 on 8/31/2022. LPA met and spoke with Assistant Executive Director to get more information regarding the incidents. Assistant Executive Director stated that he arrived at the facility the morning of 8/24/2022 and was advised about the incident by S2 and S3. Assistant Executive Director stated that staff called the hospital on 8/24/2022 and was told that a series of test were being given. Assistant Executive Director stated staff called the hospital several times after and was advised by hospital staff that the family did not want any information given. Assistant Executive Director stated that the facility was not aware of R1's death until the coroner arrived on 8/31/2022.
Exit interview conducted and a copy of this report provided. |