Facility Evaluation Report
Capacity6
Census5
Date signed06/23/2023 05:59:09 PM
On 06/23/2023 at 08:35 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct an Annual Inspection. Upon entry, LPA stated the purpose of the visit to Staff Members Purificacion Mapa and Manuel Baldeo. Administrator (ADM) Fe Dimaano arrived at approximately 9:00 AM.
Pre-Licensing is incomplete with deficiencies to be resolved by 07/23/2023. A follow up Pre-licensure LIC809 will be generated upon resolution of deficiencies.
Exit interview conducted with ADM. A copy of this report provided by LPA via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction