Facility Evaluation Report
Capacity4
Census2
Date signed04/18/2024 08:06:24 PM
On 04/18/24, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to conduct a case management visit based on incident reports for Resident R1. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility.
LPA requested a copy Resident R1's, Individual emergency plan, IPP and functional Behavioral Assessments. R1 is currently in the hospital under evaluation. LPA will review plans and return at a later date.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction