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Facility Evaluation Report

Pato Lane Home, Oakley02/01/2023Licence 079201215

Capacity6
Census0
Date signed02/01/2023 04:10:30 PM
The inspector’s account

On 02/01/2023 at 1:00PM, Licensing Program Analyst (LPA) L. Ibo conducted a Component III Review, for the Pre-licensing Inspection which was conducted on this day. Component III was discussed with KEITH PAUL BENITEZ & REMY BANZUELA, APPLICANT/LICENSEE'S.

LPA presented Component III power point during visit and discussed the regulations embodied in the power point. LPA discussed covid19 protocols with applicants.

Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept residents until notified by Community Care Licensing that the license has been approved.

Exit interview conduct and a copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction