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25 | Licensing Program Analyst (LPA) Glenn Trueman visited this facility as an unannounced Case Management Visit in connection to a Death Report received on: 04/27/23 from the above facility, detailing the events of: 04/26/2023 for Client C1 . Also LPA Trueman met with Administrator Maria Zuniga and the purpose for the visit was discussed.
As noted on the Death Report on 04/26/23, Client 1 was admitted to Los Angeles Community Hospital on 04/21/23 for pneumonia and came back to the facility on 04/23/2023. Client 1 had bad cough and chest congestion.
During the course of the visit, LPA reviewed Client 1's file. Various documents were submitted to Licensing on 05/01/2023 which included Physician's Report, Emergency ID, Medication Log , Hospital documentation and Needs and Services Plan. LPA interviewed Administrator Maria Zuniga at today's visit at 2:00 PM.. The administrator stated that Client 1 had returned to the facility 04/23/2023 since entering the hospital on 04/21/23 and had seemed fine playing bingo on 04/25/2023 the night previous to her passing but did not come for morning medication on 04/26/2023 and was found that morning in her room unresponsive by Staff S 1.
Interview was conducted with Staff S 1 at 2:30 PM who stated that on 04/25/2023 C 1 had taken all meds and ate all meals. Stated that her PCP stated cause of death was heart attack.
Paramedics were called and police also arrived.
Administrator will submit Death Certificate when received.
Based on the available information reviewed, further investigation is needed.
Exit interview conducted with Administrator. |