Facility Evaluation Report
Capacity8
Census5
Date signed01/31/2025 06:35:21 PM
On January 31, 2025 at 12:30 PM, Licensing Program Analyst (LPA) James Sampair arrived for this unannounced Plan of Correction (POC) visit. 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 reviewed the documentation in progress with the Licensee that was related to the 5 POCs. 1 of the POCs was cleared. Due to the progress being made by the Licensee on completing the other 4 POCs, the LPA gave an extension to February 28, 2025 for them to be completed.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction