Facility Evaluation Report
Capacity6
Census4
Date signed10/10/2023 04:15:12 PM
Licensing Program Analyst (LPA) Cynthia Chan conducted a case management visit to interview staff.
LPA met with Staff, Peter Kim, and explained the purpose for the visit.
LPA obtained a copy of the personnel record and interviewed Staff #1 who was on duty.
No deficiency was issued. A copy of this report was given to the staff.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction