Facility Evaluation Report
On 5/20/2025 at 9:45 AM, Licensing Program Analyst (LPA) Eldin Serrano conducted an unannounced case management visit to the facility to follow up on Client #1 (C1)'s death which occurred on 5/16/2025. LPA met with the Administrator Gabriel Mendoza.
LPA spoke with the Administrator Gabriel Mendoza to obtain additional information regarding the death. LPA reviewed C1’s facility file. LPA requested copies of the following documents: Client ID/emergency information, admission's agreement, physician's report, client recovery plan/individual services and support plan, centrally stored medication log, and special incident report/death report.
The Department is requesting a copy of C1's death certificate once it becomes available. Further investigation may be required depending on the cause of death.
No deficiencies were cited during the visit. An exit interview was conducted where this report was discussed and provided to Administrator Gabriel Mendoza.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction