Incident investigation·April 2, 2025

On 04/02/2025 at 1:25 PM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a case management visit in regards to death report received on 03/29/2025. LPAs met with Executive Director, Gianni Amari, and explained the purpose of the visit. Death Report indicated that R1 was found unresponsive in the bathroom and first responders pronounced R1 dead at around 8:30 A.M. LPA obtained Service Plan Report, Carlton AL HSE Report, and 2022 Physician's Report. LPA is requesting for any recent Physician's Report to be sent to CCLD by 04/04/2025. LPA is also requesting for Pendent Report from 03/23/2025, 03/24/2025, Services Provided Report, and Care Notes by 04/10/2025. Executive Director will reach out and obtain a death certificate. Executive Director will notify LPA once obtained. LPA may return at a later time. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.