Law Supplemental Narrative:
Supplemental Narratives
Seq Name
Date
Narrative
1 Howard C
10:22:45 07/09/15
Review of Documents on
Supplemental, Incident Number: 14S024442
I (Detective Caitlin How ard) received the documentation from the Pueblo
Regional Center in reference to
's(DOB
) death. I reviewed
the nursing notes, voluntary statements and call logs from 198 Galatea Dr
Pueblo West, CO, 81007. This is a summary of what information I obtained from
the documents for more information please refer to original that were scanned
into files.
November 13, 2014,

stated to staff members she was not feeling well.

November 14, 2014,

refused to go to work due to being ill.

November 15, 2014, 2nd shift staff members came into the home and found
lying in vomit and feces. 1st shift staff stated
refused to let them clean
her up. The 1st shift staff stated she only had vomit not feces. Those staff
members were removed and placed in other homes with clients with no medical
needs.
November 15, 2014 at approximately 5:30 P.M.,
ambulance to Parkview Hospital.
November 16, 2014,

was transported via

was pronounced deceased at Parkview Hospital.

Pueblo Regional Center started their internal investigation on November
17, 2014.
Staff member,

HCT 1, reported the following:

On November 13, 2014,
had not been feeling well. November 14, 2014
refused to go to w ork. On November 15, 2014, 2nd shift staff members came
into the home and found
lying in vomit and feces. The first shift staff
said
refused to let them clean her up. The first shift staff stated she
had only vomit not feces on her. The first shift staff members were removed from
the home. The staff will be working at homes without complex medical needs. The
staff will be retrained a standard level of care for individuals that are ill.
The treatment provided, to
fluids and take medication.

was encouragement to take a bath, drink

This is a summary of the nursing notes:
November 13, 2014 at approximately 5:30 P.M.,
had a upset stomach, did not
eat dinner, no emesis, normal output from ostomy bag.
November 14, 214 at approximately 11:00 AM,
had upset stomach and stated
he did not want to go to day program. Temperature 99 degrees, she was encouraged
to rest.
November 14, 2014 at approximately 7:00 PM,
still not feeling well. low
grade temperature 99 degrees. Encouraged to rest and fluids. Enesis *1

OFFICIAL COPY
FROM RECORDS DEPARTMENT
PUEBLO COUNTY SHERIFF'S OFFICE
Released by th

 November 15, 2014 at approximately 1:00 PM,
had vomited about 8:30 AM
with staff to shower room, then left and
refused to get cleaned up.

temperature 98 degrees. Assisted

November 15, 2014 at approximately 6:30 PM, At 3:30 PM staff reported emesis and
unable to keep pills down. Temperature 98.6, gave Maalox, while cleaning
up she fell on left side apparent injury abrasions/bruising when addressed at
3:30 PM. At 6:00 PM staff reports multiple emesis, unsteady gait. Staff reports
's fingers are very cold but oxygen level reading at 70 percent.Instructed
to call ambulance
was transported to Parkview Hospital.
November 16, 2014 at approximately 11:45 P.M.
staff were notified as well as Director
A witness statement was completed by
Galatea. This is a summary of his statement.

passed away at Parkview home
.
a staff member 198

stated after he clocked into his shift and started his daily routine he
refused to get up all day. It had also been reported that
had been sick and was laying in her own urine, feces and vomit.The other
staff,
, immediately went back and gave
a bed bath, changed
bedding, as well as her colostomy bag.
stated when he went to give
her 3:00 PM medications, he saw
down in the bed covered in vomit, urine
and feces.
agreed to take her medication but as soon as she did a very
large amount of emesis came up.
's emesis was yellow/green with no food
trace. After this
, continued to clean and change
while he called the
RN
.
notified
that
had vomited a lot and was
unsure if her medication was swallowed. He told RN
that, due to
being covered in body fluids, he was unable to get vital signs.
ordered
to give Maalox for an upset stomach which was given and seemed to be
tolerated.

was briefed

asked
, the RN, to come and look at
because she didn't look
good. She was green, very weak and her vomit didn't smell normal. About thirty
minutes ,after the Maalox was given,
informed him that she was trying to
change
's bedding and she fell out of the chair.
was informed and came
by to look at
Orders were given to keep her hydrated and try broth/soup
wrote,
told him that
did not listen or even assess
for dinner.
but just looked at her. At 5:00 PM,
attempted to give
her
medication and a multivitamin.
took her medication and immediately vomited
a large amount of bile.
This time,
and
attempted a full set of vitals. RN
was
notified immediately after we got a blood pressure of 70's/50's.
and
were unable to get a pulse ox reading. They attempted to get readings on
her fingers, toes, even ear lobes.
was on the phone with RN
and she
was insistent that they were doing it wrong or the machine was broken. A pulse
oxygen reading of 70 percent came up.
told RN
that
needed to
go to the emergency room. RN
told
"The flu is not emergency status."
wrote in his statement he kept trying to tell RN
that
was not
ok and needed help. RN
tated she would send an extra staff member so
and
could take
to Parkview West.
told
that they would not be able to take
because she was to
weak to stand on her own.
requested to call the ambulance but, again, RN
refused.
then handed the phone to
to talk to RN
so h
could continue to try and get a more accurate reading.
then heard

OFFICIAL COPY
FROM RECORDS DEPARTMENT
PUEBLO COUNTY SHERIFF'S OFFICE
Released by th

 telling the ambulance the address to Galatea. When EMS showed up, they asked
responded, "That's not a UTI that's her
how long she had a UTI,
vomit."
was transported to Parkview Main Hospital.
writes about what happened when they got to the emergency room
and
the ER staff called a Septic code and all the test and procedures done
to
.The doctor ordered a NG-Tube, due to a bowel obstruction, he also
admitted
into I.C.U. and would be consulted by a surgeon. They got the
NG-Tube in
and stabilized and pumped out 400cc of fluid,
's
temperature spiked to 102 degrees.
was kept in ICU where she passed away on November 16, 2014 at
Parkview Main Hospital.

Date, Time, Reporting Officer:
Thu Jul 09 14:41:12 MDT 2015 Detective Caitlin Howard
Date, Time, Supervisor:
Mon Jul 13 08:40:28 MDT 2015, Sergeant Michael L. Beery
sp/ck/BD Mon Jul 20 11:46:34 MDT 2015

OFFICIAL COPY
FROM RECORDS DEPARTMENT
PUEBLO COUNTY SHERIFF'S OFFICE
Released by th