Facility Evaluation Report
Capacity15
Census15
Date signed06/20/2023 05:25:24 PM
On 06/20/2023 at 10:00 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct a Required - 1 Year Inspection. Upon entry, LPA stated the purpose of the visit with Staff Member Jiovanni Alonzo, who toured facility inside and outside with the LPA.
The LPA interviewed 3 residents and 3 staff members and reviewed files of 5 staff and 5 residents.
During this inspection, 2 Technical Violations were issued for violation of regulations that do not pose a risk to the health and safety of persons in care.
Exit interview conducted with Administrator Adlai Grutas and a copy of this report provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction