Facility Evaluation Report
Capacity6
Census9
Date signed09/10/2024 02:21:53 PM
While LPA J. Clancy-Czuleger conducted a complaint investigation (15-AS-20240514153218) on 09/10/2024, LPA observed the following:
Chemical cleaner left out in the bathroom
A rope that was tied a door closed in the residents living room
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