Facility Evaluation Report
Capacity6
Census5
Date signed07/14/2022 10:03:05 AM
On 7/14/22 at 9:10 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - incident inspection. LPA called Licensee (LIC) Susan Baal and explained reason for inspection. LIC arrived a short time later and granted entry.
CCL received a Special Incident Report (SIR) for an incident that occurred on 1/14/22 concerning R1 and S1. LPA conducted interviews and reviewed records.
No deficiencies cited during this inspection.
Exit interview conducted. A copy of this report was given to Licensee Susan Baal, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction