Facility Evaluation Report
Licensing Program Analyst Trevor Bryne conducted an unannounced Case Management inspection regarding a self-reported Death Report (LIC 624) received. LPA met with facility Administrator Lito Vitug at 09:59 AM and explained the reason for the inspection.
On 01/27/2025, Community Care Licensing (CCL) received a self-reported Death Report (LIC 624) pertaining to the death of Resident #1 (R1) which occurred on 01/27/2025. During today’s visit between 10:02 AM and 11:35 AM, the LPA conducted an interview with the facility Administrator, two (2) staff members. LPA also conducted a brief physical plant tour and obtained copies of pertinent information.
No deficiencies were observed during today’s inspection. If warranted upon further review of information and documentation received, the LPA will return to investigate this further.
Exit interview conducted. A copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction