Incident investigation·March 25, 2022

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to the facility to follow-up on the death of Resident One (R1). LPA made contact with Executive Director Leif Cameron and advised the reason for the visit. LPA toured the facility and noted no health and safety concerns at the time of visit. Community Care Licensing Division (CCLD) received an unusual incident report from the facility on 3/24/22 to report the death of the resident. The following is a brief description of the visit: LPA interviewed Mr. Cameron regarding the circumstances of the residents death. LPA collected pertinent resident file information, relevant responsible party contact information, as well as staff and resident roster information. Mr. Cameron was advised that additional information including, interviews, calls, and record review may be needed to complete CCLD's investigation at a later date. An exit interview was conducted with Mr. Cameron, and a copy of this report was provided.