Facility Evaluation Report
Capacity6
Census6
Date signed06/21/2023 03:00:42 PM
On 06/21/2023 at 12:30 PM, 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 Administrator Adlai Grutas. LPA toured facility inside and outside.
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 Staff Member Jio Alonzo. A copy of this report provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction