Facility Evaluation Report
Capacity6
Census4
Date signed03/27/2025 05:43:28 PM
Name of licensing program analystMelinda Medina
Name of licensing program managerAlexandria Walton
On 3/27/2025, Licensing Program Analyst (LPA) arrived to facility to conduct an an unannounced Annual Required inspection.
LPA found the following, staff 1 (S1) on shift is not fingerprint cleared and Staff 2 (S2) on schedule but not present at facility, is fingerprint cleared but not associated to facility.
Based on observation, interviews, and records review deficiencies have been cited on the attached 809-D in accordance with the California Code of Regulations, Title 22. Immediate Civil Penalties assessed.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction