Facility Evaluation Report
Capacity6
Census6
Date signed11/30/2022 09:50:03 AM
On 11/30/2022, at 9:25 AM, Licensing Program Analysts (LPAs) Liridon Fici and Catherine Lin conducted an unannounced case management visit to deliver an amended Lic421 Civil Penalty Assessment dated for 10/27/2022. LPAs met with Venice Ayala , administrator (ADM) and explained the purpose of the visit.
During visit, LPAs delivered the amended Lic421BG Civil Penalty Assessment dated 11/30/2022 and obtained original Lic421IM dated 10/27/2022.
Exit interview conducted with Administrator and copy of this report provide.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction