Follow-up·August 14, 2024

Licensing Program Analysts (LPA) Sandra Urena, Trevor Byrne and Erica Mosley conducted an unannounced case management-other visit. The LPAs arrived at the facility at 09:55 a.m. The LPAs met with Diane Lugar, Operations Specialist (OS), Shari Lefevre, Regional Director of Operations, and Guadalupe Santos, Memory Care Director, and explained the reason for the visit. The purpose of the visit is to gather additional information about the death report (LIC 624) for R1, which was submitted to the Community Care Licensing (CCL) department on 08/05/2024. It is unclear as to what caused the death of R1. R1 had a fall (witnessed by staff) on 08/3/2024 at approximately 9:15 p.m., prior to being hospitalized. R1 died at the hospital the following morning after he fall. The LPAs interviewed Guadalupe Santos, Memory Care Director (MCD) and Diane Lugar from 10:34 a.m. to 10:40 a.m. and requested records pertinent to the case at 10:45 a.m. Per the MCD, they requested the death certificate(DC) from the family members on 08/07/2024; however the family member stated that they not had obtained a DC yet , but as soon as they received a copy they would send it to the facility. Further investigation is needed at this time. Exit interview was conducted and a copy of the report was issued.