Incident investigation·November 28, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection following the receipt of a death report on 11/21/23 for resident (R1). LPA met with caregiver, Icelyn Allen, who contacted Alek Molitvenik, Administrator, by phone. LPA and the administrator discussed the death report for (R1) which notes that resident ate his lunch and then went outside and suddenly stopped breathing. The administrator stated that there was no indication or sign that (R1) was not feeling well and about to pass in recent days. The caregiver, who was present when (R1) passed, stated she helped (R1) get in the chair where he collapsed outside. The caregiver immediately called the administrator to inform of what happened. The administrator agreed to request a copy of the county death certificate from (R1's) family member and provide a copy to the Department upon receipt in the next few weeks. There are no deficiencies cited in this report. Exit interview. Copy of report provided.