Facility Evaluation Report
Capacity11
Census5
Date signed06/22/2023 02:25:50 PM
On 6/22/2023 starting at 1:45 PM, Licensing Program Analyst (LPA) Gregory Clark arrived unannounced to conduct a case management visit. LPA met with Nathaniel Reed, Administrator and explained the purpose of the visit.
LPA went to the facility to deliver an Immediate Exclusion letter. It was confirmed S1 was present at the facility. Immediate Exclusion letter was delivered to S1 and the administrator. LPA has advised the administrator to disassociate the individual from their roster and submit an updated LIC 500. LPA confirmed S1 left the facility.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction