Facility Evaluation Report

On 8/18/2023, Licensing Program Analyst (LPA) Janette Romero conducted a Case Management visit to document a death mentioned to LPA during the annual visit.

During a tour of the facility's interior and exterior, LPA was informed by Caregiver Remedios Pascua that a client was taken to the hospital and had passed away on 8/3/2023. The facility submitted Unusual Incident/Injury Reports (LIC 624s) concerning Client #1's (C1's) hospital admission and death to Community Care Licensing Division's (CCLD) Riverside Regional Office via fax/email, in a timely manner. Facility to submit a Death Report (LIC 624A) and a copy of C1's Death Certificate to CCLD via fax/email.

LPA requested copies of the following documents:

A copy of this report was discussed and provided to Administrator Alcayde.