Facility Evaluation Report
Capacity6
Census4
Date signed04/21/2023 04:47:00 PM
On 04/21/2023 at 9:00 AM, Licensing Program Analyst (LPA) J Sampair arrived unannounced for this POC inspection. Upon entry, LPA disclosed the purpose of the visit to Caregiver Hilda Manuel who informed Licensee Mynette Boykin who arrived at 10:15 AM.
After review of records at facility, neither of the citations issued on 04/13/2023 were cleared and civil penalties were issued (refer to the 2 LIC421FC civil penalties issued on 04/21/2023).
Exit interview conducted and a copy of this report provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction