Facility Evaluation Report
Capacity6
Census5
Date signed10/11/2024 10:09:55 AM
On 10/11/2024 at 9:10am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 10/1/2024. LPA met with Justine Esomonu, Administrator that arrived at 9:30 and explained the purpose of the visit.
The incident occurred on 9/25/2024 where C1 AWOL'd. C1 was placed on respite services on 9/23/2024, and admitted to the facility on 10/7/2024. S1 stated C1 has an appointment to obtain the physician's report. S1 also stated C1 is able to leave the facility unassisted.
Exit interview conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction