Facility Evaluation Report
Capacity6
Census4
Date signed09/21/2021 04:16:04 PM
On 09/21/2021, Licensing Program Analysts (LPA) A. Walton conducted an unannounced Case Management Visit. LPA introduced self, stated the purpose of the visit, and was granted entry into the facility. LPA met with Licensee, Camalah Kopacz.
The purpose of today's visit is to amend the Pre-licensing Inspection report dated 09/17/2021.
An exit interview was conducted. As a COVID-19 precautionary measure, a copy of this report will be provided to Licensee via email and an electronic read receipt confirms receiving this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction