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25 | On 10/26/2022, Licensing Program Analyst (LPA), Murial Han conducted a case management visit to delivery the finding of an incident that was reported to Community Care Licensing (CCL). LPA met with case manager, Kim Walker and explained the purpose of today's visit.
On 7/20/2022, the facility reported a serious incident concerning resident #1 (R1) was saying good bye to a friend and mentioned something about the window in R1's room. Staff was notified of such conversation and checked on R1 and R1 declined to open the door. Staff called 911, walked outside of the facility, attempted to talk to R1 from the window and discovered R1 was laying on the ground. R1 was transported to the hospital where R1 was declared deceased.
On 7/21/2022, Licensing Program Analyst (LPA) Jaime Vado made a case management visit regarding the incident and initiated an investigation.
During the investigation, the Department collected documentation and conducted interviews.
This is an independent living facility and residents have the freedom to come and go as they desire. According to facility staff and residents, on the day of the incident, R1 appeared fine and R1 was being normal self that morning and the days prior to the incident. In addition, staff reported checking on R1 during the day of the incident.
Based on interviews, and record reviews there is no preponderance evidence of lack of supervision and neglect from the facility, therefore, this incident is deemed to be unfounded.
No deficiency cited. This report is discussed and reviewed with the case manager. A copy is provided. |