Facility Evaluation Report
Capacity6
Date signed03/06/2023 01:29:40 PM
On 3/6/23 at 1:07 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - other inspection to amend the report issued on 12/28/22. LPA explained reason for inspection and met with Licensee (LIC) Jason Johnson.
LPA amended LIC9099 issued on 12/28/22 to the facility.
No deficiencies cited during this inspection.
Exit interview conducted. A copy of this report was given to Licensee Jason Johnson, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction