Facility Evaluation Report
Capacity5
Census4
Date signed06/05/2025 10:21:52 AM
Name of licensing program analystLuisa Fontanilla
Name of licensing program managerYvonne Flores-Larios
On 6/5/2025 at around 10:10 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct a case management visit to amend report previously issued to the facility on 4/10/2025. LPA met with LVN Sabrina Balal and explained the purpose of the visit.
The report and deficiency issued to this facility was intended for another facility.
A copy of this report was provided to Balal.
This is the amended copy of report issued on 4/10/2025. .
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction