Facility Evaluation Report
Capacity160
Date signed10/10/2025 01:20:58 PM
Name of licensing program analystAlbert Johnson
Name of licensing program managerLisa Rios
Licensing Program Analyst (LPA) arrived unannounced to conduct a case management visit. LPA met with staff during today's visit.
Case management visit regarding incident report detailing an unexpected death.
LPA was able to talk with Administrator regarding R1, R1 has had multiple visits on 4/14/2025, 6/19/2025, 7/11/2025 and 7/15/2025 to the ER for UTIs and has aliments /limitation that require assistance from home health services.
LPA met with the Administrator and briefly reviewed pre-assessment and support plan that was active when R1 was living.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction