Facility Evaluation Report
Capacity8
Date signed09/20/2022 11:15:10 AM
On 09/20/22 at 10:05 AM, Licensing Program Analyst LPA L. Holmes conducted an unannounced visit and explained the purpose to Care Staff, Elmer "Eric" Ferrer; this is to amend the report for complaint 15-AS-20201007102423 from Confidential to Public for the closed facility. Administrator Shahid Siddiqui was telephoned and approved Care Staff to sign the report.
Exit interview conducted and a copy of this report provided to Elmer "Eric" Ferrer.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction