Facility Evaluation Report
On this day at around 10:25 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to
conduct pre licensing inspection. LPA met with Licensee/Applicant Shirley Bordon. LPA explained to Bordon the purpose of the visit.
While LPA was reviewing the facility's fire clearance, LPA observed the facility is approved for four ambulatory clients. However, upon interview conducted with applicant, the facility has one client who is non ambulatory.
LPA reviewed Lic 200 and observed facility applied for four ambulatory clients.
LPA advised Licensee to submit a corrected Lic 200 to CAB.
Pre licensing was not completed and will be scheduled once the corrected fire clearance is received.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction