Facility Evaluation Report
Capacity6
Census4
Date signed09/10/2025 10:55:08 AM
Name of licensing program analystKelly Nguyen
Name of licensing program managerBennett Fong
On 09/10/25 at 10:35AM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management, met with caregiver, Alvin Galang and spoke with Administrator (ADM) Faith Oribello via phone explained the purpose of the visit. ADM was not available during LPA visit. ADM gave permission to Alvin to sign the report.
LPA discuss with ADM regarding the outstanding Annual Fee. ADM stated ADM will send confirmation of paid Annual Fee by 9/12/25.
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