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25 | Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced Case Management Visit to follow up on a Death Report faxed to the Department on 7/27/23. LPA was met with Office Manager Nuri Sanchez and Residential Manager Alex Rojas who later assisted with the visit, the purpose for the visit was explained.
During today’s visit LPA interviewed Staff 2 (S2) and Staff 3 (S3). Prior to today’s visit, LPA obtained copies of C1’s Session Information/Problem List, Death Report, Identification and Emergency Information, Physician’s Report, Medication Administration Record (MAR) from May 2023 – June 2023. Today LPA obtained copies of Staff Roster, Client Roster, admission agreement and C1’s FACE Sheet.
Per interview with S2 and S3 prior to AWOL of C1 there were maniac behaviors and claims of pain that C1 was experiencing. Days leading to C1’s AWOL there were visits with the Nurse Partitioner, Hospital (ER) and Psychiatrist with attempts to help client with the symptoms they were experiencing. Unfortunately, client AWOL from facility at approximately 12:30pm on 6/23/23 and expired shortly after on 7/9/23 at a hospital. Time of death and reason are unknown at the moment, facility is waiting for the Death Certificate to be provided for that information.
LPA is requesting facility to obtain and provide Licensing with C1’s Death Certificate upon receipt.
No deficiencies observed during today’s visit. Exit interview and a copy of the report was provided to Clinical Supervisor/ Intake and Discharge Coordinator Brynne MacPhail.
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