Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno made an unannounced visit to the facility. The LPA arrived at the facility to conduct a case management visit to follow up on a client death. LPA met with administrator Francis Pastorfide and explained the purpose of today's visit.

This case management visit consisted of collecting pertinent documentation and conducting staff interviews in regards to the death of Client #1 (C1). LPA interviewed Staff #1 (S1) for further information in regards to the death of C1 and the events that led up to C1's death. C1 stated that no official death certificate has been issued at this time but the preliminary cause of death is still undetermined by the local Coroner's office. LPA has advised the Administrator to send a copy of the death certificate the Community Care Licensing Division (Department) Riverside Regional Office as soon as it is available.

No deficiencies were cited during this visit. An exit interview was conducted where this report (LIC 809) and LIC 811 were discussed and provided to the Administrator.