Facility Evaluation Report

Wrc-1, Ben Lomond02/24/2022Licence 445200582

Capacity34
Date signed02/24/2022 11:19:58 AM
The inspector’s account

Licensing Program Analyst (LPA) Ryker Heberle conducted an unannounced Case Management visit and met with facility administrator Megan Miller (Admin). During visit, LPA spoke with Admin. The visit was in response to a verbal death report for resident R1 filed by the facility.

During the visit, LPA interviewed 2 facility staff members and R1's roommate. LPA also obtained the following documents for resident R1: Physician's Report, Appraisal/Needs and Services Plan, and written death report. LPA also inspected R1's room. LPA requested Progress Notes for R1.

No deficiencies were cited at this time as per California Code of Regulations, Title 22.

This report was reviewed with Administrator Megan Miller and a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction