Facility Evaluation Report
Capacity6
Census4
Date signed01/09/2025 01:42:56 PM
On 1/9/2025 at 12:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to complete the pre-licensing of the facility after completing a Plan of Correction (POC) visit. Upon arrival, LPA stated the purpose of the visit to Caregiver Erma Dual.
The 3 A-Type and 2 B-Type citations were cleared. The Applicant Mary Asilum was not at the facility so the COMP III training was not completed. The LPA and Applicant scheduled a future date and time to conduct the COMP III training.
Pre-Licensing is complete and this facility has no deficiencies.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction