Facility Evaluation Report
Capacity6
Census2
Date signed09/20/2024 11:49:41 AM
On 9/20/2024 at 11:10am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Nenita Tekada, Direct Support Professional (DSP), and explained the purpose of the visit.
While LPA L. Hall was conducting a complaint investigation 15-AS-20240917085659 on 9/20/2024. During record review LPA observed C1’s file was missing documents.
The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties.
Exit interview conducted. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction