Facility Evaluation Report
Capacity293
Census167
Date signed08/05/2022 02:51:10 PM
Licensing Program Analyst (LPA) Tricia Danielson and Regional Manager (RM) Reyna Lacey arrived unannounced to the facility conduct a case management visit following receipt of a death report of Resident #1(R1).
On August 4, 2022, Community Care Licensing (CCL) received an death report notification concerning R1. During today's visit, LPA and RM obtained copies of pertinent documents and toured the facility.
No deficiencies cited during today's visit. An exit interview was conducted and a copy of this report was provided along with LIC 811- Confidential Names list.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction