Facility Evaluation Report
Capacity5
Census5
Date signed03/13/2025 02:23:43 PM
On this day at around 12:40 PM, LPA Luisa Fontanilla arrived unannounced to conduct a case management visit and met with LVN Sabrina Balal. LPA explained to Balal the purpose of the visit. The interim Administrator Ruby Abalos was informed about the visit over the phone and authorized Balal to sign the report.
This case management visit is being conducted as follow up on the annual review conducted by DDS Nurse Consultant on January 22, 2025 .
Deficiencies were cited per Title 22 California Code of Regulations and Health and Safety Code (refer to Lic 809D).
A copy of this report and Appeal Rights was provided to Balal.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction