Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Genn Macaoile, Care Giver. Administrator Eliza Pangan later joined LPA Rodgers to discuss the visit.

Today's visit was in response to licensee’s self-reported death of Client #1 (C1), received at the CCLD San Diego Regional Office on 10/3/2023 [See LIC 811 Confidential Names List for a description of C1]. Per the report, C1 passed away on 10/3/2023.

LPA instructed Administered Pangan to obtain a copy of the death certificate and send a copy to Community Care Licensing as soon as it can be obtained. Per Regulation 80061(b)(1)(B)(1): “The licensee shall obtain a certified copy of the client's death certificate as soon as it is available, maintain it in the client's file, and shall send a copy to the Department as soon as it is obtained.”

LPA performed a facility tour / welfare check on remaining clients, collected pertinent records, and interviewed relevant staff. No deficiencies were observed or cited during today's visit.

An exit interview was conducted with Administrator Eliza Pangan, 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.