Facility Evaluation Report
Capacity6
Census5
Date signed09/15/2023 12:39:51 PM
On 9/15/23, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit, and allowed entrance by Administrator, Diana Ellis.
LPA Medina conducted Case Management visit to verify if Staff 1 (S1) is currently working in the facility. Administrator advised an exclusion was ordered and issued by the Department. LPA verified with Administrator that S1 was terminated from facility on September 7, 2023. Administrator disassociated S1 from facility personnel report during case management visit.
No deficiencies sited during this Case Management visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction