Facility Evaluation Report
Capacity4
Census2
Date signed10/19/2023 04:16:15 PM
On 10/19/2023 at 09:15 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the initial 10-day complaint investigation. Upon entry, LPA informed Caregivers Maria Benitez and Adraine Trapps, and Licensee Cheryl Smith was then informed by phone of the purpose of the visit.
During the investigation, the LPA observed a deficiency unrelated to the complaint and issued 1 Type-A citation (details in LIC809-D).
Exit interview conducted with Caregiver Adraine Trapps. A copy of this report was provided via email to the Licensee.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction