Facility Evaluation Report
Capacity6
Census4
Date signed11/02/2022 01:47:21 PM
On 11/2/2022 at 1:15PM Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Joaquin Cunanan, Administrator.
While LPA L. Hall was conducting a complaint investigation (15-AS-20210520122215) on 11/2/2022. During interview S1 stated that he did not report an incident and death report for R1 to CCLD.
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