Facility Evaluation Report

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. LPA arrived at the facility to conduct a case management visit to follow up on a client death. LPA met with facility caregiver Maryann-Maila Bien and explained the purpose of today's visit.

This case management visit consisted of collecting pertinent documentation and conducting staff interviews regarding the death of Client #1 (C1) who passed away on 9/4/2025. LPA interviewed Staff #1 (S1) for further information regarding the death of C1 and the events that led up to C1's death. S1 stated that no official death certificate has been issued at this time however, based on interview with C1 family LPA was informed that the cause of death was cardiac arrest raspatory acute aspiration pneumonia, this information was provided to the family of C1 from the mortuary. LPA has advised Maryann-Maila to send a copy of the death certificate to the Community Care Licensing Division (Department) Riverside Regional Office as soon as it is available. During the review of record LPA observed that the facility followed the proper medical measures to assist C1. Furthermore, no indication of neglect or abuse was found or observed during record review and inspection.

No deficiencies were cited during this visit. An exit interview was conducted where this report (LIC 809) was discussed and provided to facility caregiver Maryann-Maila Bien.