Facility Evaluation Report
On 10/09/2023 at 10:30 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced at facility for complaint investigation and added the required annual inspection when complaint investigation completed. Upon entry, LPA informed Caregiver Evelia Galvan of the purpose of the visit, who informed Administrator (ADM) Yanlin "Cynthia" Huang. ADM arrived at approximately 11:15 AM.
During the visit, LPA reviewed facility and resident records, and interviewed 1 resident, 1 staff member, and ADM.
1 Type-A citation issued during the inspection (details in LIC809-D) and Civil Penalty of $200 (details in LIC421-BG).
Annual inspection incomplete. LPA will return unannounced to complete the inspection.
Exit interview conducted with Licensee and a copy of this report was provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction