Facility Evaluation Report
Capacity6
Census5
Date signed10/16/2025 01:56:48 PM
Name of licensing program analystLaura Hall
Name of licensing program managerHarpreet Humpal
On 10/16/2025 at 12:40pm, Licensing Program Analyst (LPA), L. Hall conducted an unannounced case management visit to obtain facility information for residents. LPA met with Bernadette Del Rosario, Caregiver, and explained the reason for the visit.
During the visit LPA toured facility and reviewed the five (5) residents files. Facility had a non-compliance conference (NCC) on 12/16/2024. LPA obtained a copy of the resident roster and LIC500 (personnel report).
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction