Facility Evaluation Report

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Case Management visit to follow up on a client death reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Program Director Cindy Robinson.

Community Care Licensing received an Incident Report on 03/05/2026 in which it was reported that a Client (Identified as C1) had passed away on 03/02/26 at the hospital after an injury sustained from falling out of a second story window.

During today's visit, LPA conducted file review and interviews, and provided consultation with Program Director Robinson. The facility is currently awaiting the death certificate once cause of death is officially determined and will be forward to the Department once received.

At this time, LPA observed no immediate health and/or safety concerns and no deficiencies were cited during today's visit.

An exit interview was conducted with Program Director Robinson to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.