Facility Evaluation Report
Capacity6
Census4
Date signed05/16/2025 01:16:08 PM
Name of licensing program analystDaisy Panlilio
Name of licensing program managerBennett Fong
On 05/15/25 at 1:15PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced Health and Safety check due to the department receiving a priority 2 complaint.
During the health and safety check, LPA observed a total of 2 staff members and 4 residents at the facility. LPA toured facility with staff, including but not limited to bedrooms, kitchen, bathroom, and common areas. Residents in care appear to be safe and there are no imminent health/safety concerns on today's date.
No deficiencies cited during the health and safety check. Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction