Facility Evaluation Report
Capacity14
Census8
Date signed10/27/2023 01:00:11 PM
On 10/27/23 at 12:55PM, Licensing Program Analyst (LPA) J. Clancy-Czuleger conducted a Health and Safety check as a result of the department receiving a priority 2 complaint.
During the health and safety check, LPA observed a total of 2 staff members and 8 residents at the facility. LPA toured facility with house manager, including but not limited to bedrooms, kitchen, bathroom, and common areas. Residents in care appear to be safe and there are no imminent health/safety concerns on today's date.
No deficiencies cited during the health and safety check. Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction