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25 | Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced case management visit. LPA met with Administrator Edward Velarde and explained the purpose of the visit.
Licensing received an incident report on 11/1/22 of Client #1 (C1) being hospitalized on 10/31/22 due to low oxygen levels and difficulty breathing. Report stated that around 9:15pm staff noticed C1 to have issues breathing and C1 was given oxygen until paramedics arrived and transported C1 at 9:35pm to PIH Whittier Hospital. Report received also stated that C1 passed away at PIH Whittier Hospital on 11/1/22 at 1:01am. A Death report was also received on 11/1/22.
During the visit LPA obtained staff, resident roster, C1s Identification and Emergency Information, physician’s report, Individual Program Plan (IPP), and medication log. During todays visit LPA conducted a health and safety check and toured the physical plant. LPA observed the food supply. LPA observed sharps, medications, and chemicals under lock. There were no health and safety concerns at the time of the visit.
LPA interviewed the Staff #1 (S1) and Staff #2 (S2). Interviews stated that on 10/31/22, C1 had a normal day up until the incident started at night. C1 had a history of aspiration pneumonia; therefore, staff monitor and are able to provide oxygen to C1 when needed. Before going to bed C1 showed signs of struggling to breathe and staff #3 (S3) assessed C1 and notified paramedics while providing oxygen to C1. C1 was still alive at the time that Paramedics arrived and took C1 to the hospital at 9:35pm. C1 passed away at PIH Hospital. C1's responsible party and placement agency were notified.
Administrator to obtain a copy of death certificate and provide to Licensing when available.
Exit interview was conducted and a hard copy of this report was provided. |