Facility Evaluation Report
Capacity6
Census5
Date signed02/22/2023 11:16:53 AM
On 02/22/2023 at 10:50AM, Licensing Program Analyst (LPAs) L.Ibo arrived unannounced to conduct a case management visit. LPA called Administrator Jamie Ruiz and informed her the purpose of the visit to deliver the request PPE supplies.
Facility is currently on a covid19 outbreak. According to Administrator, the facility is currently stable and public health is monitoring the facility. No new covid19 cases during the LPA’s visit.
Exit interview conducted via phone call with Administrator. Administrator agreed to sign and send the copy of the report via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction