Facility Evaluation Report
Capacity4
Date signed10/17/2023 10:47:46 AM
On 5/10/23 LPA Felisa Shirley returned unannounced to the facility to continue Annual Required - 1yr visit. LPA met with Maxine Washington, Caregiver. The current census is 3.
LPA Felisa reviewed all staff personal files, resident files and LIC 500 and found that all staff are associated with our records in Guardian.
An exit interview was conducted and a signed copy of this report was left for the Licensee and given to Maxine Washington.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction