Facility Evaluation Report
Capacity4
Census3
Date signed09/26/2024 07:16:17 AM
On 09/25/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct visit for the purpose of checking on the health and safety of the residents in care. LPA introduce self, stated the purpose of the visit and met with Licensee Jason Johnson and Supervisor Diana Diaz.
LPA toured the facility interview with R1 whose was observed in bedroom.
A follow up case management will be conducted if necessary.
An exit interview was conducted, and a copy of this report was provided to Licensee, whose signature confirms received of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction