When the death of a vulnerable person occurs in a certain residential facilities or residential programs under the jurisdiction of the Justice Center, it is required to be reported immediately to the Vulnerable Persons Central Register (VPCR) Death Reporting Line. Mortality Review Unit investigators, which include registered nurses, screen all death reports to determine whether or not further investigation is warranted. 

The Justice Center may conduct an on-site investigation when: 

  • An individual commits suicide, either while in a hospital or licensed residential facility, or shortly after discharge from the facility; 
  • There is an allegation of abuse involving the circumstances of death; 
  • A death appears to be the result of restraint or seclusion; and/or
  • A death appears to be a result of inadequate supervision or medical care from a residential setting.