Facility Evaluation Report
On this day, June 15, 2022, LPA L. Ibo arrived to the facility unannounced to conduct case management related to incident report received 5/24/2022 and met with staff, Lani Zazueta , LPA called licensee Jake Manalo and informed her the purpose of visit.
Licensee self- reported that on 5//24/2022 C1 was missing and was found at the neighborhood. LPA conducted interview; staff stated that C1 was found at a nearby store. Staff assess C1, no injuries noted.
Deficiencies are cited from Title 22 California Code of Regulations (see 809Ds). Failure to submit proof of corrections (POCs) by plan or correction due dates and any repeat violations within 12-month period may result in civil penalties.
Deficiencies and plan and proof of corrections were discussed with Jake Manalo over the phone.
Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided to S1.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction