Facility Evaluation Report
Capacity6
Census3
Date signed11/15/2024 02:38:11 PM
On 11/15/2024, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced case management visit at the facility listed above. LPA met with House Manager Deborah Lewis (Staff #2) and explained the purpose of the visit. The purpose of the visit is to confirm Staff#1 (S1) has been excluded from the facility. Community Care Licensing Division (CCLD) received a decision and order for S1 to be excluded from the facility. LPA conducted a tour of the facility and Staff #2 - Staff #4 was present.
A copy of this report was discussed and a hard copy was provided to the House Manager Deborah Lewis.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction