Facility Evaluation Report
Capacity6
Census5
Date signed12/27/2021 02:44:46 PM
Unannounced annual visit utilizing the infection control domain was performed by LPA Michael Smith. Contact with Raul Revilla.
A review of staff records on 12/27/21 indicates that all facility staff and other individuals who require caregiver background checks have received criminal record clearances.
As a result of this visit, there were no deficiencies. However, 1 technical advisory was issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction