Facility Evaluation Report
Capacity6
Census3
Date signed12/17/2024 02:46:15 PM
During an complaint investigation (15-AS-20241213161313) LPAs K. Nguyen and L. Alexander observed that facility do not have a minimum of one week non- perishables food supply. LPAs tried to contact Administrator, but was not able due to phone went to voicemail. ADM gave permission for Jezrael to sign the report.
LPAs requested Administrator to submit on weekly basic of groceries receipt and photo of all food supplies to CCLD starting from the week 12/23/24:
Exit interview is conducted and a copy of this report is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction