Facility Evaluation Report
Capacity40
Census30
Date signed12/18/2023 03:17:21 PM
Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management visit on this date to verify if an individual is currently employed at the facility.
Based on evidence obtained during today’s visit, the LPA has verified the individual is not present, employed, or residing at the facility. LPA has advised the administrator to disassociate the individual from their roster and submit an updated LIC 500.
Exit interview conducted and a copy of this report provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction