Facility Evaluation Report

Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management visit. LPA Williamson identified herself and was granted entry into the facility by Caregiver Amy Duell. LPA stated the purpose of the visit and reviewed the basic elements of the visit with Debra Bunnell, Administrator and Nora Garcia, Administrator

On July 7, 2022, the facility reported a resident death regarding Resident 1 (R1) (See LIC 811 Confidential Names List) to Community Care Licensing. The facility reported that on June 29, 2022, R1 passed away at the facility at approximately 2:45 p.m.

During today’s visit, LPA briefly toured the facility, conducted staff interviews, requested and obtained resident and facility records. No deficiencies were cited during today’s visit.

An exit interview was conducted with Debra Bunnell, Administrator and Nora Garcia, Administrator a copy of this report, LIC 811 and Licensee/Appeal Rights (LIC 9058 01/16) was provided to Administrators.