Facility Evaluation Report
An unannounced Case Management - Incident visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. McClurg. LPA met with Mental Health Program Manager II (MHPM II) Rosie Ruiz (Maduena). Admin authorized MHPM II & MHCM III to conduct visit with LPA.
Purpose of visit was to review 1/24/24 Death Report as submitted by the facility regarding Resident 1 (R1).
During this visit, LPA reviewed information as submitted & obtained R1's complete resident file for removal from the facility during this visit.
In accordance with 80070(d)(3) Client Records:
... Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:
Licensing representatives shall return the records undamaged and in good order within three business days following the date the records were removed.
Process of removal & return of records for R1 reviewed with MHPM II.
Exit interview conducted with MHPM II. Copy of report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction