Facility Evaluation Report
Capacity186
Date signed06/23/2023 12:44:52 PM
On this day at around 11:50 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct case management visit in connection with a suicide incident that occurred at the facility. LPA met with Resident Care Director (RCD) David Ayala and explained the purpose of visit.
LPA obtained the following records for Resident 1 (R1):
A referral to Investigations Branch (IB) has been made.
LPA advised RCD to send all incident/death reports to CCL via fax at 510-286-4204 or email to CCLASCPOaklandRO@dss.ca.gov and not to send to any LPA email address.
A copy of this report was provided to RCD.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction