Facility Evaluation Report
Capacity6
Census8
Date signed04/14/2025 02:44:43 PM
Name of licensing program analystJames Sampair
Name of licensing program managerHarpreet Humpal
On 4/14/2025 at 1:30 PM, Licensing Program Analyst (LPAs) James Sampair and Yasamin Brown arrived unannounced to conduct a Plan of Correction (POC) visit. Upon arrival, the LPAs stated the purpose of the visit to Licensee Ericka Tillis.
On 4/4/2025, LPAs Sampair and Brown conducted a Case Management visit during which 4 deficiencies were cited. all 4 of the deficiencies were cleared during the visit.
Exit interview conducted and a copy provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction