Facility Evaluation Report
Capacity4
Census4
Date signed03/16/2026 11:09:32 AM
Name of licensing program analystBennette Pena
Name of licensing program managerLisa Hicks
Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. Upon arrival, no one was home and the flicensee/administrator was called on the phone. Licensee will not be able to be in the home until after 12:30pm. LPA will conduct the annual inspection at a later date .
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction