Facility Evaluation Report
Capacity6
Census5
Date signed02/13/2025 11:49:05 AM
On 02/13/2025 at 09:00 AM while LPA J. Clancy-Czuleger conducted a complaint investigation (15-AS-20241017160414) LPA observed the following deficiencies:
that current and past resident records are not stored separate and complete
Medications were left out and accessible to residents
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. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction