Senior Care Records.

Facility Evaluation Report

Dungarvin California - Signal Hill, Signal Hill03/22/2023Licence 198603362

Capacity30
Census11
Date signed03/22/2023 02:15:31 PM
The inspector’s account

On 3/22/23 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced Case Management inspection. LPA met with Beverly Ruiz , Program Director to interview about the events of 2/28/23. The purpose of today's visit involved gathering additional details surrounding the death of Client #1 which occurred on February 28, 2023.

During the visit LPA reviewed Client #1's file and requested copies of supportive documents (Most current IPP, departure sign-out chart via Reliable Transport on 2/28/23 and the contact number and Driver's first name). The facility has provided CCLD with the necessary documents requested, and has completed a Death report and SIR within the required time frame.

LPA interviewed Beverly Ruiz regarding Client #1's day and departure events as well as any abnormalities.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction