Facility Evaluation Report
Capacity27
Census21
Date signed07/01/2026 04:52:02 PM
Name of licensing program analystYasamin Brown
Name of licensing program managerHarpreet Humpal
On 5/27/2026 at 5:30 pm, Licensing Program Analyst (LPA) Y. Brown and arrived unannounced to conduct a Case Management visit. LPA met with Administrator and explained the purpose of the visit.
While LPA Y. Brown was conducting a complaint investigation (#15-AS-20260319151737) on 7/1/2026 it was revealed that:
1. Resident records were unavailable to licensing for inspection.
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 with Ancheta, a copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction