Facility Evaluation Report
Capacity170
Census106
Date signed04/01/2026 01:14:55 PM
Name of licensing program analystFelisa Shirley
Name of licensing program managerStephanie Cifuentes
On 4/1/26, Licensing Program Analyst (LPA) Felisa Shirley arrived at this facility to conduct a case management on complaint #11-AS-20260206162139 investigated on 2/12/26.
On 4/1/26, LPA Shirley reviewed the Medical Assessment for Residential Care facilities for the Elderly (LIC 602A) and Dietary Order Clarification. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1, Staff 2 and Staff 4 and Resident 1 – Resident 6 (R1 – R6).
An exit interview was conducted, and a copy of this report was left with the Executive Director, Linda Poythress whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction