Facility Evaluation Report
Capacity4
Census4
Date signed12/10/2021 01:26:49 PM
Licensing Program Analyst (LPA) L. Cabrera conducted an unannounced case management. LPA met with Licensee Rosalina and Tony Nankil.
During the investigation of a complaint, it was discovered that the facility failed to provide unusual incident reports regarding Client (C1) having bruises to Community Care Licensing and Responsible Party.
Deficiency cited on the attached LIC809-D. Exit interview conducted and Licensee was provided with a copy of this report and Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction