Facility Evaluation Report
Capacity4
Census2
Date signed11/25/2024 03:00:29 PM
Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a Case Management on an incident that occurred resulting in death of R1 on 07/30/24.
LPA obtained copies of R1's file. LPA obtained copies of Staff files. This incident was investigated by the Department.
Based on Coroner's report R1 passed away from natural causes. No deficiencies issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction