Facility Evaluation Report
Capacity100
Census81
Date signed04/02/2025 11:02:48 AM
Name of licensing program analystAngela Panushkina
Name of licensing program managerNichelle Gillyard
Licensing Program Analyst (LPA) Angela Panushkina, conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20211004100524 . LPA met with the Administrator and explained the reason for the visit.
The purpose of the visit is to issue an amended version of the original report created 06-14-2022 after review of a second level appeal which changed the finding of the complaint. New, amended report had been created and previously issued LIC9099-D (deficiency) page will be removed.
Exit interview conducted and copy of this report signed and delivered.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction