Facility Evaluation Report
Capacity6
Census6
Date signed11/17/2022 03:03:41 PM
On 11/17/2022 approximately 2:20PM, Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct a proof of correction (POC) visit for the deficiency cited on 09/29/2022. LPA met with caregiver Elizabeth Zamora and explained the purpose of the visit.
LPA observed the shed located in the backyard as being used as what it is intended for storage, LPA observed items such as wheel chair, lamp, shower chair, drawers, cabinet and boxes.
No deficiencies are being cited on this date.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction