Facility Evaluation Report
Capacity32
Census29
Date signed07/20/2023 02:39:15 PM
On 7/20/2023 at 1:20pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a case management visit to follow-up on a death report received by Community Care licensing on 6/25/2023. LPA met with Nkemidirim "Ken" Ugbaja, Administrator (ADM), and explained the purpose of the visit.
Client 1 (C1) passed away on 6/25/2023 with an unknown cause of death. ADM stated the cause of death still has not been determined.
During today's visit LPA obtained the following documents:
LPA requested from facility a copy of C1's death certificate once available.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction