Facility Evaluation Report
Capacity130
Census84
Date signed05/06/2025 10:51:14 AM
Name of licensing program analystNadia Shahbazian
Name of licensing program managerEva Miller
Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Case Management Visit to confirm the admission of Resident #1 (R1). Upon arrival at 10:00am, LPA met with Fabiola Moreno - Memory Care Director and explained the purpose of the visit. .
LPA obtained copies of the LIC 500 and the Resident Roster. Admission of R1 to the facility was confirmed, date of admission was on 03/12/2025. LIC 809 signed and copy provided. Exit interview conducted.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction