Facility Evaluation Report
Capacity6
Census4
Date signed12/22/2021 05:58:40 PM
On 12/22/2021 Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct a case management inspection due to another visit. LPA met with S2, LPA called Administrator Cristina Concepcion, Administrator arrived after 20 mins.
LPA toured facility inside and outside. LPA observed 4 residents in care, 3 are on hospice and 1 non-ambulatory resident.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction