Facility Evaluation Report
Capacity6
Census4
Date signed04/24/2023 04:03:31 PM
At 11:00 AM on 04/24/2023, Licensing Program Analyst (LPA) J Sampair arrived unannounced for a complaint visit.
While conducting the complaint inspection, LPA observed 2 deficiencies, 1 Type-A and 1 Type-B (refer to LIC809-D for details).
Exit interview conducted with Caregiver Estrella Tiangsing.
LPA sent copy of this report provided via email to Administrator Norberto Geronimo.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction