Incident investigation·May 15, 2025

On 5/15/2025, at 10:00am, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced to conduct a case management visit. LPA met with Licreisha Wilson, staff on duty (S1), and stated the purpose of this visit. S1 notified the facility supervisor Renae Earl of this visit byut did not answer. LPA also contacted Renae via phone but did not answer; LPA left a message. Chukwudi (Patrick) Ikiseh arrived shortly after during the visit. Renae Earl also arrived later during the visit. Present during today’s visit were 4 residents in care with 1 staff on duty (S1). A brief interview with S1 was conducted. The purpose of this visit is to follow up on the death of Resident_1(R1) occurred on 6/8/2024. The Department was made aware of R1's death during an annual visit on 6/12/2024. The investigation into R1’s death consisted of interviews and record reviews. Per record review of the R1's death certificate, R1's immediate cause of death was cardiopulmonary arrest (onset minutes) and Parkinson's disease (onset years). A review of the Sheriff's Department/Coroner's report concluded that there were no questionable circumstances surrounding R1's death. Based on this case management visit, no deficiencies are being cited. Exit interview was conducted with Renae and a copy of this report was provided.