Incident investigation·June 1, 2022

On 6/1/22 at 9:00am Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced case management inspection to ensure the health and safety of residents and address additional questions regarding the death of R1. LPA met with staff Jocelyn Perena to get additional information regarding the death of a resident. LPA Gould conducted file review for former resident and conducted interviews with two staff members to get additional information regarding the former resident and and to obtain additional information leading up to his death and the actions of the facility immediately after resident was found unresponsive. LPA could not interview staff who first discovered R1 as she is on on leave at the time of inspection. Based on the interviews, information gathered, and documentation reviewed there were no deficiencies assessed at the time of inspection. Exit interview was conducted and a copy of this report was left at the facility.