Facility Evaluation Report
Capacity6
Census5
Date signed04/04/2022 12:58:08 PM
On 04/04/2022 at 12:22 pm LPA J. CLancy-Czuleger arrived unannounced to conduct a case management visit regarding a report that was submitted on 3/21/2022. LPA met with Administrator, Jane Bernadino and explained the purpose of the visit.
During the visit LPA spoke and reviewed incident with Administrator. The Administrator stated that the Resident (R1) had been experiencing weakness and chills prior to the facility calling 911. R1 passed away while at the hospital and the family did not disclose the cause of death to the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction