Facility Evaluation Report
Capacity75
Census42
Date signed06/21/2022 05:20:23 PM
On 6/21/2022 starting at 5:00 PM, Licensing Program Analyst (LPA) L. Ibo conducted unannounced case management visit.
Based on records review S1 and S3 not associated to the facility.
Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction