Facility Evaluation Report

Licensing Program Analyst (LPA) Don Senaha conducted an unannounced Case Mangement - Deficiencies visit to document deficiencies observed during the course of the complaint investigation on a complaint with complaint control number 11-AS-20220420104244.

California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC809D.

An exit interview was conducted and plans of correction were developed. A copy of this report and appeals rights were provided. Administrator Virginia Asis not present but LPA called her on the phone on 4/28/2022 at 3:58pm and she stated ok for House Manager Richard Librando to sign for reports.