Facility Evaluation Report
On 10/20/2022 at 10:10AM Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct a case management visit to follow-up on a death report received by Community Care licensing. LPA met with Administrator, Jean Rodriguez and explained the purpose of the visit.
R1 passed away on 10/07/2022 with an unknown cause of death. During today's visit LPA obtained additional information pertaining to R1's death:
LPA requested from facility a copy of R1's death certificate.
LPA was informed by Administrator that family will provide R1's death certificate, once available and will provide CCL a copy.
No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction