Facility Evaluation Report
Capacity4
Census4
Date signed02/21/2025 12:02:26 PM
On 2/21/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit, and allowed entrance by Administrator, Jhosan Timbreza.
LPA conducted visit to follow up on an incident report that was submitted to this department. The self-reported incident for R1 occurred on 12/18/24.
LPA reviewed resident (R1) file and received copies of hospital discharge paperwork and follow up visits for podiatrist appointments.
Exit interview conducted and a copy of this report provided for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction