Facility Evaluation Report
Capacity4
Census0
Date signed05/06/2025 11:22:35 AM
Name of licensing program analystTonica Syess-Gibson
Name of licensing program managerHarpreet Humpal
On 05/06/2025 at 10:40AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted a face-to-face Component III presentation. LPA met with Licensee/Applicant, Nico Jose Dizon,
LPA presented Component III power point and discussed the regulations embodied in the presentation. LPA observed Licensee/Applicant gained knowledge about running and maintaining the facility in accordance with Title 22 regulations.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction