Facility Evaluation Report
Licensing Program Analyst (LPA) Trevor Bryne conducted an unannounced Case Management inspection regarding a self-reported Death Report (LIC 624). LPA arrived to the facility at 09:47 AM and met with facility staff who contacted the Administrator Christina Gomez. The Administrator arrived to the facility at 10:01 AM entrance interview conducted and the reason for the visit was explained.
On 12/262025, Community Care Licensing Division (CCLD) received a self-reported Death Report (LIC 624) pertaining to the death of Resident #1 (R1) which occurred on 12/24/2025. During today’s visit between 10:01 AM and 01:00 PM, the LPA conducted a brief physical plant tour, interviewed the facility Administrator, two (2) staff members, two (2) residents, two (2) witnesses, and obtained copies of pertinent documents.
No deficiencies were observed during today’s inspection. The LPA will return at a later date to conduct additional investigation/interviews.
Exit interview conducted with the Administrator and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction