Facility Evaluation Report
Licensing Program Analyst (LPA) Stephanie Williams conducted a visit to the facility in order to initiate a case management visit. LPA identified herself and discussed the purpose of the visit with Administrator, Rodney Peek.
The Department received a death report regarding the death of Client #1 (C1) on 10/27/21. LPA interviewed the Administrator and staff in regards to the events that led to the death of C1 and history of C1's health conditions.
LPA Williams reviewed the following documents from C1's file:
The Administrator stated that a death certificate has not yet been made available. LPA requested that a copy of the death certificate be sent to the Department as soon as they become available.
No deficiencies cited during this visit. An exit interview was conducted where this report was discussed via telephone and a copy was sent to Peek via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction