Facility Evaluation Report
Capacity3
Census3
Date signed05/24/2022 11:57:17 AM
Licensing Program Analyst (LPA) Luis Mora conducted a case management visit after discovering a deficiency during a complaint investigation for control number: 28-AS-20220516115309. Client 1 (C1) has dementia and his physician report is outdated. A current physician report is needed for the complaint investigation.
The deficiency cited is documented on the LIC809D. Exit interview held and a copy of the report and appeal was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction