Follow-up·October 25, 2022

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a case management visit to complete a review regarding a self-reported death of Resident 1 (R1) (See LIC 811 for confidential names) received by CCL on October 24, 2022. LPA met with Executive Director, Stephanie Boudreau. LPA reviewed R1's facility file, toured the facility, and conducted interviews with staff about events leading up to the death. C1 resided at the facility since September 15, 2021. On October 21, 2022, at 6:53 a.m. R1 passed away at the facility, unknown cause of death. During the case management visit LPA reviewed R1's relevant records. LPA requested the death certificate. No deficiencies were cited during the visit. An exit interview was conducted with Associate Executive Director , Milos Blagojezic, to whom a copy of this report and the Licensee Rights (LIC9058 01/2016) were provided at the conclusion of the visit.