Incident investigation·June 15, 2023

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to the facility to conduct a Case Management - Incident to follow up on information regarding on a Resident's death. LPA met with Resident Health Services Director (RHSD) Marirose Kendle, Safety Director, Joe Parrett, and Kelly Conk, Associate Executive Director and explained the nature of the visit. During LPA's visit, LPA toured the Men's locker room, Steam Room and Pool area, reviewed and obtained copies of pertinent documentation and conducted interviews regarding the death of Resident 1 (R1) who passed away on 06/09/2023. LPA spoke to Directors to get further information regarding the death of R1 and the events that led up to R1's death. RHSD Kendle stated the official Death Report has been not been sent to CCLD at this time, as she is awaiting for additional information from the family. Facility does not know if an autopsy will be performed. There was no preliminary cause of death that was determined or provided. LPA advised RHSD Kendle to send a copy of the Death Report to the department as soon as it is completed. No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report (LIC809) and LIC811 (Confidential Names) will be sent to email on file.