Facility Evaluation Report
Capacity6
Census6
Date signed05/17/2023 03:28:36 PM
On 05/17/2023 at 9:30 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct a Case Management visit regarding the deficiencies he identified during his 05/16/2023 complaint inspection. The LPA met with Administrator (ADM) Annette Sanchez.
During the visit, the LPA toured the facility inside and outside with the ADM, reviewed documents, and interviewed staff members. During visit, LPA issued 2 Type B citations (refer to LIC809-D for details) and Civil Penalties for missing Caregiver Background checks (refer to LIC421BG for details).
Exit interview conducted. Copy of this report provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction