Facility Evaluation Report
Capacity4
Census4
Date signed07/17/2023 11:32:24 AM
On 7/17/2023 at 11:15am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Dejah Jordan, Direct Support Professional (DSP). LPA spoke with Administrator, Tiffany Spiecker, via telephone and was given approval for DSP to sign documents.
LPA visited the facility to deliver two (2) Immediate Exclusion letters. LPA verified that Staff 1 (S1) and Staff 2 (S2) was no longer present or working at the facility and delivered the letters to the Dejah Jordan, Direct Support Professional .
Exit interview conducted. Copies of the exclusion letters and this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction