Facility Evaluation Report
Capacity4
Census4
Date signed09/07/2022 09:57:25 AM
Licensing Program Analyst (LPA) B. Miranda and Licensing Program Manager (LPM) S. Moua conducted a follow-up Pre-licensing Inspection. LPA and LPM met with Administrator Rosalind Ward. The pre-licensing visit is to confirm corrections made after the 4/19/22 inspection.
LPA and LPM confirmed that there are 4 residents at the facility. Care plans for the 4 residents were reviewed.
Comp III was previously completed. All pre-licensing requirements have been met. Exit Interview conducted.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction