Facility Evaluation Report
Capacity6
Census0
Date signed08/27/2021 09:06:41 AM
Licensing Program Analyst (LPAs) Mai Yang and Lady Cabrera conducted a LPA spoke with case management visit. LPAs met with Designated Representative Delilah Ramirez. Kristine Williams, Chief Operating Officer was available via phone.
During a complaint investigation on 4/20/2021, LPA Cabrera obtained Resident’s (R1) Admission Agreement. Per records review and observation, the facility requires to update the Admission Agreement.
Exit interview was conducted. LPA provided 809 report to Designated Representative.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction