Facility Evaluation Report
Capacity6
Census5
Date signed08/19/2024 02:20:06 PM
While at the facility for the annual inspection on 08/19/2024, Licensing Program Analysts (LPAs) P. Manalo and J. Clancy-Czuleger requested updated copies of the following documents:
LIC 308 Designation of Administrative Responsibility
Administrator Larry Cayabyab agrees to submit the documents to CCLD by //
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction