Facility Evaluation Report
Capacity158
Date signed07/11/2024 02:43:46 PM
On 7/11/2024, Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced Case Management visit today at the facility. LPA was following -up on an incident dated 7/9/2024
During visit LPA Johnson reviewed records for R1 and obtained copies of R1's file. Record requested included the physician's report, pre-appraisal and service plan.
The facility provided agencies with details of the incident on the SOC341 form. The department is requesting the facility submit a detailed information report on form LIC 624 Unusual incident Report.
The Department may return at a later date to further investigate the incident.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction