Facility Evaluation Report

Licensing Program Analyst (LPA) Riza Alvarez conducted a case management visit. LPA was greeted and allowed entry into the facility by Annie Sonekeovilay, Caregiver. LPA stated the purpose of the visit was to follow up on a death of a client. Benito Bravo, Caregiver joined us after assisting a client.

During today's visit, three (3) of the clients are at Day Program. LPA briefly toured the facility, requested and obtained documents, and interviewed staff, including a telephone call with Administrator Kathy Nelson. On May 24, 2023, Community Care Licensing received a death report for Client #1 (C1). The report stated C1 passed away on May 23, 2023 at their bedroom. No deficiencies were observed or cited during this visit. LPA requested for a copy of the death certificate once available.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC9058 03/22) and LIC 811 (Confidential Names List) were provided to Annie Sonekeovilay whose signature below confirms receipt of these rights.