Facility Evaluation Report
Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Rebecca Rayo.
Today's visit was in response to a LIC 624A Death Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 07/11/2024, updated report received on 07/12/24). According to the LIC624A: on 07/01/2024, Resident #1 (R1) was sent to the hospital due to a behavioral episode. R1 passed away at the hospital on 07/05/24 and the cause of death is unknown.
During today’s visit, LPA performed a facility tour/welfare check, collected records, and interviewed the Administrator.
No deficiencies were observed or cited during today's visit.
An exit interview was conducted with Rebecca, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction