Facility Evaluation Report
Capacity40
Census11
Date signed08/25/2021 01:24:52 PM
Licensing Program Analyst (LPA) Vasallo conducted a case management visit. The purpose of the visit was to gather the following documents for all 11 residents:
Identification/emergency contact information for each resident.
Med Tech, Erin Richardson assisted with obtaining copies of the documents.
Exit interview held. A copy of the report was provided to Erin Richardson.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction