Observations
Based on a review of client records on April 8, 2025, the facility failed to file a written unusual incident report with the Department within 3 business days following an unusual incident involving the death of a client.
Client # 3 was admitted on March 25, 2024. Client # 3 passed away on 1/24/25. The facility did not notify the Department of this incident.
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Plan of Correction
The Project Director will notify DDAP in writing about the unusual incident for client #3 on 5/2/25.
The facility has placed calls to the client's authorized emergency contacts, namely the parents to confirm the passing of client #3, however, we received no response. The facility only learned about the incident through a third party source.
The Project Director performed a staff training 4/25/25 with the facility director and all clinicians To ensure compliance of unusual incident reporting policy. |