Facility Evaluation Report
Capacity6
Census6
Date signed08/26/2025 01:52:41 PM
Name of licensing program analystLaura Hall
Name of licensing program managerHarpreet Humpal
On 8/26/2025 at 1:25pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit a request from the facility. LPA met with Bernadette Del Rosario, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Ding Wang, via telephone.
LPA reviewed R1's file to confirm ambulatory status. LPA spoke with Administrator and explained the facility is only allowed one (1) bedridden resident. Administrator stated she will submit a new LIC200.
Exit interview conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction