Facility Evaluation Report
Capacity6
Census4
Date signed09/21/2023 10:53:50 AM
On 09/21/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a Case Management inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Rodrigo Arrieta via telephone.
LPA conducted an interview with Administrator.
Exit interview conducted. LPA received verbal permission to allow facility staff to sign the report. A copy of this report was discussed and provided to facility staff, Lourdisita Villancio, whos signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction