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25 | Licensing Program Analysts (LPAs) Erik Zaragoza and Daniel Konishi conducted an unannounced case management visit to follow up on a death report received on 4/26/2024 for Client #1 (C1). LPAs met with Tony Olmos, Administrator for the facility, and explained the purpose of the visit.
Per the Special Incident Report (SIR), C1 was found unresponsive in their room, and pronounced deceased by paramedics at 9:12 AM.
During today's visit LPAs interviewed the administrator Tony Olmos, and during the interview Tony explained that C1 was found in his room on 4/26/2024 when one of the staff members went to his room because he didn't come to the medication room to obtain his morning medications. When the staff arrived, the roommate of C1 stated that they believed C1 was deceased. Administrator Tony was called to the room and checked the vitals of C1 and observed that C1 did not have a pulse. The administrator then proceeded to call 911, and once paramedics arrived they pronounced him deceased at 9:12 AM. The administrator explained that at this time it is believed that C1 passed away in their sleep.
On 4/26/2024, the facility staff emailed LPA C1's Physician's Report, FACE Sheet, Appraisal/Needs and Services Plan, and their Medication Administration Records (MARs) for the past 3 months. Administrator Tony Olmos explained that he will email LPA a copy of the death certificate for C1 once it becomes available.
LPAs toured the bedroom of C1. No concerns, obstructions, or anything out of the ordinary was witnessed during the visit.
No deficiencies were observed during today's visit. Exit interview was held and a copy of the report was provided to the administrator Tony Olmos. |