Facility Evaluation Report
On 10/17/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a case management visit. LPA spoke with Administrator Romano Dumuk via phone to explain the purpose of the visit. Administrator was unable to make it to the facility and gave staff Benilda Castillo permission to sign the report.
The purpose of the visit is to gather more information regarding a death report Community Care Licensing (CCL) received on 09/27/24. LPA spoke with the administrator and facility staff regarding the events leading up to R1s death. Death report states that R1 passed away in the hospital after being sent out due to increased heart rate.
LPA obtained a copy of R1's LIC602 and ID page.
Exit interview conducted and a copy of the report was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction