Facility Evaluation Report
Capacity8
Census5
Date signed01/31/2025 06:38:40 PM
On 1/31/2025 at 12:30 PM, Licensing Program Analyst (LPA) James Sampair arrived for this unannounced Case Management visit to complete the Required 1 Year Inspection began on 1/23/2025. Upon entry to the facility, the LPA informed Caregiver Blessilda Luna of the purpose of the visit. Licensee Donald Hay arrived at approximately 1:15 PM.
The LPA completed the review of facility files and 6 staff files.
4 Type-B citations issued (refer to LIC 809-D).
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction