Facility Evaluation Report
Capacity100
Census91
Date signed03/04/2026 02:54:31 PM
Name of licensing program analystCarol Fowler
Name of licensing program managerBennett Fong
On 3/4/202 at 2:00PM, Licensing Program Analyst G.(LPA) Carol Fowler arrived unannounced to conduct a case management visit to deliver amended report originally dated 01/28/2026. LPA met with Administrator, Benjie Doctolero and informed him the reason for visit.
During visit, LPA attempted to obtained original report dated 1/28/2026. The facility had a change of Administrator, the current Administrator was not able to locate the report.
No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction