Facility Evaluation Report
Capacity6
Census6
Date signed11/18/2022 11:21:05 AM
On 11/18/2022 at 09:15 am during the course of another visit, Licensing Program Analyst (LPA) J. Clancy-Czuleger discovered that the person that is listed as the administrator no longer works at the facility. The new administrator was designated in May 2022.
The licensee did not notify the Department, in writing, within thirty (30) days of administrator starting.
The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.
Exit interview conducted With Caregiver Evan Park. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction