Facility Evaluation Report
Capacity6
Census3
Date signed08/25/2025 02:04:33 PM
Name of licensing program analystKelly Nguyen
Name of licensing program managerBennett Fong
On 8/25/2025 at 1:20 pm, Licensing Program Analysts (LPAs) K. Nguyen and P. Manalo conducted an unannounced Case Management visit to check in with residents(R), residents' family members, and POA. LPAs met with care staff and Renato Tisico, explaining the purpose of the visit. LPAs spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report.
An exit interview is conducted copy of this report is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction