Facility Evaluation Report
Capacity6
Census4
Date signed03/11/2024 02:00:20 PM
On 03/11/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management visit. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Nelia Barcelona and Licensee, Marc Barcelona.
The purpose of today's visit is to verify that S1 is no longer working in the above facility. Per, Administrator, "S1 has not been in the facility since 2019".
Exit interview conducted. A copy of this report was discussed and provided to Administrator, Nelia Barcelona, whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction