Facility Evaluation Report
Capacity6
Census5
Date signed08/03/2023 12:46:17 PM
Licensing Program Analyst (LPA) Mary Flores conducted a case management visit regarding deficiencies observed during a complaint investigation visit on 8/3/23. LPA met with Lucita Ataciano caregiver and explained the reason of the reason.
On 8/3/23 LPA Flores conducted a complaint investigation visit. During the visit LPA reviewed files for 2 clients and was not able to review file for C1 as the file was not available for review.
Deficiencies are noted on LIC 809D per Title 22 Regulations.
Exit interview was conducted with caregiver and a copy of this report, LIC 809D, and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction