Facility Evaluation Report
Capacity16
Census11
Date signed04/23/2025 03:22:36 PM
Name of licensing program analystDavid Doidge
Name of licensing program managerBennett Fong
On this day at 03:00 PM, Licensing Program Analyst (LPA) David Doidge arrived at the facility to obtain a copy of records. LPA spoke with Supervisor Amanda White.
LPA could not obtained copy of an admission agreement for R1 as R1 as never been a resident of this facility. Verified by Amanda White.
A copy of this report was provided to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction