Facility Evaluation Report
On 10/15/2024 at 9:00 AM, Licensing Program Analysts (LPAs) James Sampair and David Doidge arrived unannounced to conduct a Case Management - Annual Continuation inspection to complete the Required Annual Inspection that was partially completed on 9/30/2024. Upon entry, LPAs stated the purpose of the visit to Caregiver Gina Longoria. Licensee Tina Camaclang arrived at approximately 10:00 AM.
The LPAs completed a review of the facility records. The LPAs reviewed the records of 5 residents and 5 staff members. The LPAs interviewed 4 staff members.
Administrator will provide LPA copies of the following documents by 10/22/2024:
1. LIC 308 Designation of Facility Responsibility
1 B-Type citation issued during the inspection.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction