Facility Evaluation Report
Capacity6
Census6
Date signed11/18/2022 02:14:56 PM
On 11/18/2022 at 12:50PM, Licensing Program Analysts (LPAs) G. Luk and K. Nguyen arrived unannounced to conduct a case management visit. LPAs met with caregiver, Lester Calma.
After reviewing audit report, the following deficiencies were observed.
- 87405 Administrator Qualifications and Duties
The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties.
LPA will email a copy of the reports and appeal rights to licensee at a later time.
Exit interview conducted. A copy of this report and appeal rights was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction