Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on a resident death reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Manager Ronald Locke and Caregiver Phuc Huynh.

Community Care Licensing received a Death Report on 4/20/26 in which it was reported that a resident (Identified as R1) had passed away on 4/18/26 following an overdose. Per the report, R1 was found by bystanders at a nearby business and contacted emergency services. Emergency personnel performed CPR and transported R1 to the hospital where R1 later passed away.

During today's visit, LPA conducted file review and interviews, and provided consultation with Executive Manager Locke. Per review of R1's records, R1 was able to come and go from the facility unsupervised.

At this time, LPA observed no immediate health and/or safety concerns and no deficiencies were cited during today's visit. Additional visits and follow-up may be necessary for complete review of this incident based on additional information from the Death Certificate once obtained.

No Deficiencies were cited during today's visit. An exit interview was conducted with Manager Locke to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.